Hearing impaired persons generally have a greater risk of substance abuse issues because of the impairment, and treatment services must be available which serves their circumstances. Those who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue due to social stigmas attached to drug abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure their own challenges can be handled in rehab.