Hearing impaired individuals generally have an increased risk of substance abuse issues due to their impairment, and rehab services have to be at hand which serves their needs. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their issue because of social stigmas that come with drug use. Nonetheless, drug rehabilitation counselors who offer rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual to ensure that their own problems can be addressed in treatment.