Hearing impaired individuals generally have an elevated chance of substance abuse issues because of the impairment, and treatment services must be available to them which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that treatment clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for each individual so that their unique problems can be addressed in rehab.