Hearing impaired individuals generally have an elevated probability of substance abuse issues due to their impairment, and treatment services should be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their issue due to social stigmas attached to drug use. Nonetheless, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for everybody so that their own challenges can be addressed in rehab.