Hearing impaired persons tend to have a heightened probability of drug abuse issues because of their impairment, and treatment services must be at hand which serves their circumstances. People who are hearing impaired can feel alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem because of social stigmas that come with substance abuse. However, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab 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 interactions so that rehab clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for each individual to ensure their own personal problems can be handled in treatment.