Hearing impaired individuals tend to have an elevated risk of drug abuse issues because of the impairment, and treatment services must be at hand which serves their circumstances. People who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their issue because of social stigmas attached to drug use. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailored for each individual to ensure their particular challenges can be treated in rehab.