Hearing impaired persons tend to have a greater likelihood of substance abuse issues because of the impairment, and treatment services must be available which cater to their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their issue due to social stigmas that come with substance abuse. Having said that, drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that treatment clients can know they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailored for each person to ensure that their unique problems can be treated in rehabilitation.