Hearing impaired persons tend to have a heightened risk of substance abuse issues due to their impairment, and rehab services should be at hand which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem due to social stigmas attached to drug abuse. Nonetheless, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that rehabilitation 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 may be more tailor-made for each person to ensure that their unique problems can be addressed in treatment.