Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of the impairment, and treatment services must be available to them which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that accompany possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their problem as a result of social stigmas attached to drug abuse. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that rehab clients can know that they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services may be more tailor-made for each individual to ensure that their own personal problems can be treated in treatment.