Hearing impaired individuals tend to have an elevated risk of substance abuse issues due to their impairment, and rehab services have to be available which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person so that their unique challenges can be remedied in treatment.