Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of their impairment, and treatment services should be available which serves their needs. People who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem as a result of social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure that rehab clients can know that they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailor-made for each individual to ensure their own challenges can be treated in treatment.