Hearing impaired individuals tend to have a heightened risk of substance abuse issues due to their impairment, and treatment services must be available to them which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue due to social stigmas attached to abusing drugs. Having said that, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support in order that rehab clients can know that they're not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailor-made for everybody so that their own problems can be remedied in treatment.