Hearing impaired individuals generally have an elevated probability of substance abuse issues due to their impairment, and treatment services must be available which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure that rehabilitation clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each individual to ensure that their own personal problems can be treated in treatment.