Hearing impaired individuals tend to have an elevated risk of substance abuse issues because of the impairment, and rehabilitation services must be at hand which serves their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their problem due to social stigmas that come with abusing drugs. Nonetheless, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions in order that treatment clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure that their own personal problems can be remedied in rehabilitation.