Hearing impaired persons tend to have an elevated chance of substance abuse issues because of their impairment, and treatment services have to be available which serves their needs. Those who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue as a result of social stigmas that come with abusing drugs. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that treatment clients can know that they're not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailored for each individual to ensure that their own personal challenges can be treated in rehab.