Hearing impaired individuals generally have a heightened chance of drug abuse issues because of the impairment, and treatment services have to be available which cater to their circumstances. Individuals who are hearing impaired can feel isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem because of social stigmas that come with substance abuse. Having said that, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailored for each individual to ensure their own personal challenges can be treated in rehab.