Hearing impaired persons tend to have a greater risk of drug use issues because of their impairment, and treatment services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue due to social stigmas that come with drug use. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailored for each individual to ensure that their particular challenges can be addressed in treatment.