Hearing impaired individuals generally have an increased risk of substance abuse issues because of the impairment, and treatment services must be available which serves their circumstances. People who are hearing impaired can feel isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure rehab clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailored for each individual so that their own personal problems can be handled in rehabilitation.