Hearing impaired individuals generally have a greater risk of substance abuse issues because of the impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can feel alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. However, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure treatment clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for each individual to ensure that their particular problems can be treated in rehabilitation.