Hearing impaired persons tend to have an elevated risk of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their issue due to social stigmas that come with substance abuse. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions to ensure rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their own personal challenges can be remedied in rehab.