Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of the impairment, and rehabilitation services should be available to them which serves their needs. Individuals who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in daily life. Firstly, 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 attached to drug abuse. Having said that, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehabilitation clients can know that they're not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each person to ensure their own personal problems can be addressed in rehab.