Hearing impaired persons tend to have a greater risk of drug abuse issues because of the impairment, and rehab services should be available which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue because of social stigmas attached to drug abuse. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support so that treatment clients can know that they're not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each individual to ensure their own personal challenges can be handled in treatment.