Hearing impaired persons tend to have an elevated chance of drug abuse issues due to their impairment, and treatment services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their problem because of social stigmas attached to abusing drugs. Having said that, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides 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 problem with drugs and alcohol. Individual counseling services can be more tailor-made for each individual so that their own challenges can be treated in treatment.