Hearing impaired individuals generally have an elevated likelihood of drug use issues because of the impairment, and rehab services must be at hand which cater to their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure that treatment clients can know they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for everybody to ensure that their own personal challenges can be handled in treatment.