Hearing impaired individuals tend to have an increased risk of substance abuse issues because of their impairment, and treatment services should be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem because of social stigmas attached to drug use. However, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure rehab clients can know that they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailored for everybody so that their particular challenges can be remedied in rehab.