Hearing impaired individuals generally have a greater probability of drug abuse issues because of the impairment, and treatment services have to be available which serves their needs. People who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue because of social stigmas that come with substance abuse. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that treatment clients can know that they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure their own problems can be addressed in rehab.