Hearing impaired individuals tend to have a greater likelihood of drug use issues because of the impairment, and rehabilitation services must be available to them which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological problems that come with having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem due to social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support so that treatment clients can know they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for everybody so that their particular problems can be addressed in treatment.