Hearing impaired persons tend to have an elevated risk of substance abuse issues due to their impairment, and rehab services have to be available which serves their needs. Individuals who are hearing impaired can appear alone, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to abusing drugs. However, drug rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure rehab clients can know they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailor-made for each person to ensure their particular problems can be addressed in rehab.