Hearing impaired persons tend to have a heightened risk of substance abuse issues due to their impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their issue due to social stigmas attached to drug use. However, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure treatment clients can know they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailored for each individual to ensure their particular problems can be treated in treatment.