Hearing impaired persons generally have a heightened probability of substance abuse issues because of the impairment, and treatment services must be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem due to social stigmas that come with drug abuse. However, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions in order that treatment clients can know that they're not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailored for each individual to ensure their particular challenges can be handled in rehab.