Hearing impaired persons generally have an elevated risk of substance abuse issues due to their impairment, and rehabilitation services should be available which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their problem because of social stigmas that come with drug abuse. Nonetheless, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each person to ensure their unique challenges can be remedied in rehab.