Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of their impairment, and rehabilitation services have to be at hand which serves their needs. Individuals who are hearing impaired can feel alone, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may make an attempt to hide their problem due to social stigmas attached to abusing drugs. Having said that, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that rehabilitation clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services might be more tailored for everybody so that their own problems can be handled in treatment.