Hearing impaired individuals generally have a heightened likelihood of drug abuse issues due to their impairment, and treatment services have to be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue because of social stigmas attached to substance abuse. However, alcohol and drug treatment 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 gives a forum for important peer interactions to ensure treatment clients can know that they're not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each individual to ensure their own problems can be addressed in treatment.