Hearing impaired persons tend to have a heightened risk of drug use issues because of their impairment, and treatment services have to be available which serves their needs. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their issue due to social stigmas that come with substance abuse. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailor-made for each person to ensure that their own challenges can be remedied in treatment.