Hearing impaired persons tend to have a greater chance of drug abuse issues because of the impairment, and treatment services must be available to them which serves their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue due to social stigmas attached to substance abuse. Having said that, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure treatment clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each person to ensure their own personal problems can be remedied in treatment.