Hearing impaired persons tend to have an elevated likelihood of substance abuse issues because of the impairment, and treatment services must be available which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Some 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 problems that accompany having this handicap in everyday life. In the first place, detecting a drug and alcohol 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 abuse. However, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure treatment clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure their particular challenges can be remedied in treatment.