Hearing impaired individuals generally have an increased chance of drug use issues because of the impairment, and rehab services have to be available to them which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with substance abuse. Having said that, drug treatment counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehab clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailor-made for each person to ensure their unique problems can be handled in rehabilitation.