Hearing impaired persons tend to have an elevated risk of substance abuse issues because of the impairment, and rehab services have to be available to them which cater to their needs. People who are hearing impaired can appear alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions so that rehab clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailor-made for each person to ensure their own problems can be treated in treatment.