Hearing impaired individuals tend to have a greater likelihood of substance abuse issues due to their impairment, and treatment services should be at hand which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem as a result of social stigmas that come with drug use. Having said that, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehabilitation clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailored for each person to ensure that their unique problems can be treated in rehab.