Hearing impaired individuals generally have an increased probability of substance abuse issues due to their impairment, and treatment services must be available to them which cater to their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue due to social stigmas attached to drug abuse. Nonetheless, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure rehab clients can know that they're not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services may be more tailored for each person to ensure that their own problems can be addressed in treatment.