Hearing impaired individuals tend to have an elevated probability of drug abuse issues due to their impairment, and treatment services must be available to them which cater to their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then decide 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 possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with drug use. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure treatment clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailor-made for everybody to ensure their particular challenges can be addressed in rehab.