Hearing impaired individuals generally have a heightened risk of substance abuse issues because of the impairment, and treatment services should be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem as a result of social stigmas that come with drug use. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support so that rehab clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for each individual to ensure their own personal problems can be handled in treatment.