Hearing impaired individuals generally have an increased likelihood of drug use issues because of the impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their issue because of social stigmas attached to drug use. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure that rehabilitation clients can know that they're not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each individual so that their particular challenges can be treated in rehab.