Hearing impaired persons tend to have an increased risk of substance abuse issues because of their impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem due to social stigmas attached to drug use. Nonetheless, drug treatment counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each person to ensure their own challenges can be treated in treatment.