Hearing impaired persons generally have an increased risk of substance abuse issues because of their impairment, and rehab services have to be available which serves their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem because of social stigmas attached to substance abuse. Having said that, drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure treatment clients can know that they're not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailored for each individual to ensure their unique problems can be addressed in rehab.