Hearing impaired individuals generally have an increased chance of drug use issues because of the impairment, and treatment services have to be available which serves their needs. Those who are hearing impaired can feel alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with possessing this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to substance abuse. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person to ensure their unique challenges can be remedied in treatment.