Hearing impaired persons tend to have a heightened chance of drug use issues because of the impairment, and treatment services must be at hand which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem as a result of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for each person so that their own challenges can be treated in rehab.