Hearing impaired individuals generally have a greater risk of substance abuse issues because of the impairment, and rehab services have to be available which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Some 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 accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem because of social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure treatment clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for everybody to ensure that their own personal problems can be addressed in rehabilitation.