Hearing impaired individuals generally have an elevated likelihood of drug use issues because of the impairment, and treatment services should be available which serves their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that rehab clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for everybody to ensure their unique challenges can be addressed in rehab.