Hearing impaired individuals generally have a heightened risk of substance abuse issues because of the impairment, and rehabilitation services should be available which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem due to social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure rehabilitation clients can know they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each individual to ensure their unique challenges can be treated in treatment.