Hearing impaired persons tend to have an elevated risk of substance abuse issues due to their impairment, and rehabilitation services must be at hand which serves their circumstances. People who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue due to social stigmas that come with drug abuse. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that rehab clients can know that they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailored for everybody so that their own personal challenges can be remedied in treatment.