Hearing impaired individuals tend to have an elevated risk of substance abuse issues because of the impairment, and treatment services have to be available to them which cater to their needs. Those who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem as a result of social stigmas attached to drug use. However, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for everybody to ensure their unique challenges can be handled in rehabilitation.