Hearing impaired individuals tend to have an elevated risk of substance abuse issues because of the impairment, and rehab services have to be available which cater to their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that come with having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their issue as a result of social stigmas that come with substance abuse. Having said that, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support in order that rehab clients can know that they're not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for everybody to ensure that their own personal challenges can be remedied in rehab.