Hearing impaired persons generally have a heightened risk of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their problem as a result of social stigmas that come with abusing drugs. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure rehab clients can know that they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure that their own problems can be addressed in treatment.