Hearing impaired persons tend to have an increased risk of substance abuse issues because of the impairment, and rehabilitation services must be at hand which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their issue due to social stigmas that come with abusing drugs. Nonetheless, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure treatment clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailored for everybody to ensure that their own personal problems can be addressed in rehab.