Hearing impaired individuals generally have an increased risk of substance abuse issues because of their impairment, and rehab services must be available which serves their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany possessing this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their issue because of social stigmas that come with abusing drugs. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual so that their unique challenges can be remedied in treatment.