Hearing impaired persons tend to have an increased risk of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to substance abuse. However, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support in order that rehabilitation clients can know that they're not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailored for everybody to ensure their unique challenges can be handled in treatment.