Hearing impaired individuals generally have an increased risk of substance abuse issues because of the impairment, and treatment services have to be available to them which serves their needs. Those who are hearing impaired can seem to be alone, lack motivation, and goalless for 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 come with possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to abusing drugs. Nonetheless, drug rehab counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure rehab clients can know that they're not on their own, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each person to ensure that their own problems can be handled in rehab.