Hearing impaired individuals tend to have a heightened probability of substance abuse issues because of their impairment, and treatment services should be available to them which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their issue because of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that treatment clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure that their own challenges can be treated in rehab.