Hearing impaired persons generally have an increased risk of drug abuse issues because of the impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of the impairment. Some 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. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue due to social stigmas attached to substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure rehabilitation clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for everybody to ensure that their own problems can be handled in treatment.