Hearing impaired persons tend to have a heightened risk of substance abuse issues due to their impairment, and rehabilitation services must be available which serves their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their problem as a result of social stigmas attached to drug abuse. Having said that, alcohol and drug rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support in order that rehabilitation clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services may be more tailored for each person to ensure their own personal problems can be addressed in rehabilitation.