Hearing impaired persons generally have a greater probability of substance abuse issues because of the impairment, and treatment services must be available which serves their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their problem because of social stigmas that come with drug use. However, drug treatment counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that treatment clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailored for everybody so that their particular challenges can be handled in treatment.