Hearing impaired persons generally have a greater probability of drug use issues because of their impairment, and rehabilitation services have to be available which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of 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 psychological and emotional problems that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue due to social stigmas attached to drug use. However, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support in order that rehabilitation clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each person to ensure that their unique challenges can be handled in rehabilitation.