Hearing impaired individuals generally have a heightened risk of drug use issues due to their impairment, and treatment services have to be available which serves 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 decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue due to social stigmas attached to drug abuse. However, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that treatment clients can know that they're not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailor-made for each person so that their own problems can be remedied in rehabilitation.