Hearing impaired individuals generally have an elevated likelihood of substance abuse issues because of their impairment, and treatment services should be available which cater to their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to abusing drugs. However, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services can be more tailor-made for each individual to ensure that their particular problems can be addressed in rehabilitation.