Hearing impaired persons tend to have an elevated likelihood of drug abuse issues because of the impairment, and treatment services should be available which cater to their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue because of social stigmas attached to drug abuse. Having said that, drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that rehab clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each person to ensure their unique challenges can be handled in rehab.