Hearing impaired persons tend to have a greater risk of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to abusing drugs. Having said that, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support in order that rehab clients can know that they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for everybody to ensure their particular challenges can be addressed in rehabilitation.