Hearing impaired persons generally have an increased likelihood of substance abuse issues because of the impairment, and treatment services must be at hand which serves their circumstances. People who are hearing impaired can feel isolated, unmotivated, and be without goals because of the 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 accompany possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to drug use. Nonetheless, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailored for each person to ensure that their unique challenges can be handled in rehab.