Hearing impaired individuals generally have an increased risk of substance abuse issues because of their impairment, and treatment services have to be available which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas that come with drug abuse. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that rehab clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailored for each individual so that their own personal problems can be remedied in rehab.