Hearing impaired individuals generally have a greater risk of substance abuse issues due to their impairment, and treatment services should be available to them which serves their circumstances. Individuals 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 drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their problem due to social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that treatment 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 could be more tailored for each person so that their own challenges can be handled in rehabilitation.