Hearing impaired individuals tend to have an elevated risk of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for everybody to ensure their own personal problems can be handled in rehab.