Hearing impaired individuals tend to have an increased probability of substance abuse issues because of their impairment, and treatment services have to be available to them which serves their needs. Individuals who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue due to social stigmas that come with drug use. Nonetheless, drug treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support so that treatment clients can know that they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual so that their unique challenges can be handled in rehabilitation.