Hearing impaired individuals tend to have an increased probability of substance abuse issues due to their impairment, and treatment services should be available to them which cater to their needs. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem because of social stigmas that come with abusing drugs. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailored for everybody to ensure that their particular problems can be addressed in rehab.