Hearing impaired persons generally have an elevated risk of substance abuse issues due to their impairment, and rehab services have to be available to them which cater to their needs. Those who are hearing impaired can feel isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their problem as a result of social stigmas that come with drug use. Having said that, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure rehabilitation clients can know that they're not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure that their own problems can be treated in treatment.