Hearing impaired persons tend to have an elevated chance of substance abuse issues because of the impairment, and treatment services must be at hand which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem because of social stigmas that come with abusing drugs. However, drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions in order that rehabilitation clients can know they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure that their particular challenges can be handled in rehab.