Hearing impaired persons tend to have an increased likelihood of drug abuse issues due to their impairment, and treatment services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and be without goals due to their 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 emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem due to social stigmas that come with drug use. However, drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure that rehabilitation clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for everybody so that their particular challenges can be remedied in rehab.