Hearing impaired persons tend to have an increased likelihood of substance abuse issues because of their impairment, and treatment services have to be at hand which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals 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 release from the psychological and emotional problems that accompany having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue as a result of social stigmas attached to drug use. Nonetheless, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support so that rehabilitation clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailored for everybody so that their own challenges can be treated in treatment.