Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of their impairment, and treatment services have to be available to them which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their issue due to social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that rehab clients can know that they're not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for everybody to ensure that their particular challenges can be treated in rehab.