Hearing impaired persons tend to have an elevated risk of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which serves their needs. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue because of social stigmas that come with substance abuse. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions so that rehabilitation clients can know that they're not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each individual to ensure their own challenges can be handled in rehab.