Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of the impairment, and rehab services must be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure that rehabilitation clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual so that their own problems can be remedied in rehabilitation.