Hearing impaired individuals generally have an elevated risk of drug abuse issues because of the impairment, and treatment services have to be available which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue because of social stigmas that come with substance abuse. Having said that, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that treatment clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their own personal problems can be remedied in rehabilitation.