Hearing impaired persons tend to have an increased chance of drug use issues because of the impairment, and treatment services must be available which cater to their needs. Individuals who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their issue because of social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehabilitation clients can know that they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailored for everybody so that their own personal problems can be handled in rehabilitation.