Hearing impaired persons tend to have an elevated risk of substance abuse issues due to their impairment, and rehabilitation services have to be at hand which serves their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that accompany possessing this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their issue due to social stigmas that come with substance abuse. However, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that 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 offers a forum for important peer interactions in order that rehabilitation clients can know that they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for each person so that their own personal challenges can be treated in treatment.