Hearing impaired individuals tend to have an increased risk of substance abuse issues due to their impairment, and treatment services have to be available to them which cater to their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions in order that treatment clients can know they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person so that their particular problems can be remedied in rehabilitation.