Hearing impaired individuals generally have a heightened risk of substance abuse issues because of their impairment, and treatment services should be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless 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 psychological and emotional challenges that come with possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their issue due to social stigmas attached to abusing drugs. Nonetheless, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure that treatment clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for each individual to ensure their own personal challenges can be remedied in rehabilitation.