Hearing impaired individuals generally have a greater risk of substance abuse issues due to their impairment, and rehab services have to be available to them which serves their circumstances. People who are hearing impaired can feel alone, unmotivated, and be without goals due to 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 psychological and emotional problems that accompany possessing this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue as a result of social stigmas attached to drug use. Having said that, drug treatment counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure rehab clients can know that they're not alone, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual so that their own challenges can be addressed in rehabilitation.