Hearing impaired individuals generally have a heightened risk of drug use issues because of the impairment, and treatment services should be available to them which serves their needs. People who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their 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 accompany possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their issue because of social stigmas attached to substance abuse. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailor-made for everybody to ensure their own challenges can be treated in treatment.