Hearing impaired individuals generally have a greater risk of substance abuse issues because of the impairment, and rehab services must be available to them which serves their circumstances. Those who are hearing impaired can feel alone, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue as a result of social stigmas that come with abusing drugs. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know that they're not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailored for each individual to ensure their unique problems can be treated in treatment.