Hearing impaired individuals generally have a greater risk of drug use issues due to their impairment, and treatment services must be available which cater to their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then decide 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 daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their problem because of social stigmas that come with substance abuse. However, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure that rehab clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual to ensure their particular challenges can be treated in rehabilitation.