Hearing impaired individuals tend to have an increased risk of drug use issues because of the impairment, and rehabilitation services must be available which cater to their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and goalless because of their impairment. Many 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 accompany having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support in order that treatment clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure their unique problems can be handled in treatment.