Hearing impaired persons tend to have a greater risk of substance abuse issues because of their impairment, and treatment services must be available to them which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then decide 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 having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their problem because of social stigmas that come with drug abuse. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions in order that treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each person to ensure that their own personal problems can be treated in treatment.