Hearing impaired persons generally have an elevated risk of substance abuse issues because of the impairment, and treatment services should be available which serves their needs. People who are hearing impaired can feel isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their issue because of social stigmas that come with drug use. Having said that, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions to ensure rehab clients can know that they're not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for each person to ensure their unique challenges can be handled in rehabilitation.