Hearing impaired persons generally have an elevated risk of drug use issues because of the impairment, and treatment services have to be at hand which cater to their circumstances. People who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem because of social stigmas attached to drug use. Nonetheless, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure rehab clients can know they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each individual so that their own problems can be treated in treatment.