Hearing impaired persons generally have an increased risk of substance abuse issues due to their impairment, and rehabilitation services should be at hand which serves their needs. People who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue as a result of social stigmas that come with substance abuse. Having said that, drug rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support so that treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for everybody to ensure that their own problems can be handled in rehab.