Hearing impaired individuals tend to have a greater risk of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem because of social stigmas that come with drug abuse. Having said that, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that rehabilitation clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailored for each individual so that their unique problems can be treated in rehabilitation.