Hearing impaired individuals generally have a greater risk of substance abuse issues because of their impairment, and rehabilitation services should be available to them which cater to their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem as a result of social stigmas that come with drug use. Having said that, drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure rehabilitation clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure that their own personal problems can be addressed in treatment.