Hearing impaired persons tend to have an increased probability of substance abuse issues because of the impairment, and treatment services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then elect 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 possessing this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem due to social stigmas attached to substance abuse. However, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure that treatment clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each person to ensure their own personal challenges can be handled in treatment.