Hearing impaired individuals tend to have an elevated chance of drug use issues because of the impairment, and treatment services should be at hand which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their issue as a result of social stigmas that come with drug abuse. However, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailored for everybody to ensure their particular problems can be addressed in treatment.