Hearing impaired persons tend to have a greater likelihood of drug abuse issues because of their impairment, and treatment services must be available which serves 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 alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their problem due to social stigmas that come with substance abuse. However, drug treatment counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure that treatment clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each person to ensure that their particular problems can be remedied in rehab.