Hearing impaired individuals generally have an increased likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which serves their needs. Those who are hearing impaired can seem to be alone, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their issue because of social stigmas attached to drug use. However, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support in order that rehabilitation clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each individual to ensure that their own challenges can be addressed in treatment.