Hearing impaired persons tend to have a heightened chance of substance abuse issues because of their impairment, and rehabilitation services should be available to them which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem because of social stigmas that come with drug use. Having said that, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that rehab clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual to ensure their own challenges can be handled in treatment.