Hearing impaired persons tend to have a greater risk of substance abuse issues because of their impairment, and treatment services have to be at hand which cater to their circumstances. People who are hearing impaired can feel alone, unmotivated, and be without goals for 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 challenges that come with possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue as a result of social stigmas attached to substance abuse. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure rehabilitation clients can know they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure their own personal problems can be handled in rehabilitation.