Hearing impaired individuals tend to have a greater risk of substance abuse issues due to their impairment, and treatment services should be at hand which cater to their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem due to social stigmas attached to drug use. Having said that, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehabilitation clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for everybody to ensure their particular problems can be handled in treatment.