Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their needs. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailored for each individual to ensure their unique problems can be handled in treatment.