Hearing impaired individuals generally have a heightened risk of substance abuse issues because of their impairment, and rehabilitation services must be at hand which cater to their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue because of social stigmas attached to drug use. However, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure that rehab clients can know they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each person so that their own personal challenges can be addressed in treatment.