Hearing impaired individuals generally have a greater risk of drug use issues because of their impairment, and treatment services have to be available which serves their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their issue because of social stigmas that come with substance abuse. However, drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that treatment clients can know that they're not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailored for each person to ensure their particular challenges can be treated in rehab.