Hearing impaired persons tend to have an increased risk of substance abuse issues because of their impairment, and rehabilitation services have to be at hand which cater to their needs. People who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their problem as a result of social stigmas attached to drug abuse. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support so that 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 everybody to ensure that their own personal challenges can be handled in rehab.