Hearing impaired persons generally have an increased chance of substance abuse issues due to their impairment, and rehabilitation services must be at hand which cater to their needs. Those who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that come with possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem due to social stigmas attached to drug abuse. Having said that, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that rehab clients can know they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person to ensure their particular challenges can be remedied in treatment.