Hearing impaired persons generally have a greater probability of substance abuse issues because of their impairment, and treatment services should be at hand which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue because of social stigmas attached to substance abuse. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure rehabilitation clients can know that they're not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services may be more tailor-made for each individual to ensure that their particular challenges can be treated in treatment.