Hearing impaired individuals generally have an elevated risk of substance abuse issues because of their impairment, and treatment services should be at hand which cater to their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions so that treatment clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailored for everybody to ensure that their particular challenges can be remedied in rehabilitation.