Hearing impaired persons generally have a heightened risk of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue due to social stigmas that come with drug use. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that treatment clients can know they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each individual so that their unique problems can be treated in rehabilitation.