Hearing impaired individuals tend to have a greater likelihood of drug abuse issues due to their impairment, and treatment services should be at hand which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem because of social stigmas attached to drug abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that treatment clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each person to ensure their own challenges can be addressed in treatment.