Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of their impairment, and treatment services must be available which cater to their circumstances. Those who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that rehab clients can know that they're not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailored for each person to ensure their particular problems can be handled in rehab.