Hearing impaired persons tend to have a heightened likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be available which cater to their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their issue as a result of social stigmas attached to drug use. However, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support so that treatment clients can know that they're not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure their unique problems can be addressed in rehab.