Hearing impaired persons generally have a greater risk of drug use issues because of their impairment, and treatment services should be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. Firstly, 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 drug use. Having said that, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions in order that rehab clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailored for each individual to ensure their unique challenges can be remedied in treatment.