Hearing impaired persons tend to have an increased risk of drug abuse issues because of the impairment, and rehabilitation services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their problem because of social stigmas attached to drug use. Nonetheless, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for each individual to ensure that their own challenges can be treated in rehabilitation.