Hearing impaired persons tend to have an increased chance of drug use issues because of the impairment, and treatment services must be available to them which cater to their needs. Those who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem due to social stigmas that come with substance abuse. Having said that, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailor-made for each person so that their unique problems can be addressed in rehabilitation.