Hearing impaired persons generally have an elevated likelihood of substance abuse issues because of the impairment, and treatment services should be available which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that come with 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 try to hide their issue due to social stigmas attached to abusing drugs. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure treatment clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure that their own problems can be addressed in treatment.