Hearing impaired individuals generally have an increased likelihood of drug abuse issues because of their impairment, and rehab services must be available to them which serves their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with substance abuse. Having said that, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that treatment clients can know that they're not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailored for each individual so that their unique problems can be treated in rehab.