Hearing impaired individuals tend to have a heightened chance of substance abuse issues because of their impairment, and treatment services should be available to them which cater to their circumstances. Individuals who are hearing impaired can feel alone, unmotivated, and goalless because of 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 challenges that come with having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem as a result of social stigmas that come with drug abuse. Nonetheless, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure that rehabilitation clients can know that they are not on their own, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailored for each person to ensure that their own personal problems can be treated in treatment.