Hearing impaired individuals generally have an increased risk of drug use issues because of the impairment, and rehab services must be available which serves their needs. People who are hearing impaired can feel isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem due to social stigmas that come with substance abuse. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support so that rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for everybody to ensure that their own personal challenges can be treated in rehabilitation.