Hearing impaired individuals tend to have an elevated risk of substance abuse issues because of their impairment, and treatment services should be available which cater to their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue due to social stigmas that come with abusing drugs. However, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are definitely a necessity, as are 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 on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services may be more tailored for each individual so that their particular challenges can be remedied in rehabilitation.