Hearing impaired individuals generally have a heightened likelihood of drug abuse issues because of their impairment, and treatment services must be at hand which serves their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue as a result of social stigmas that come with abusing drugs. However, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each individual to ensure their own challenges can be handled in rehab.