Hearing impaired individuals tend to have an elevated risk of substance abuse issues due to their impairment, and rehab services should be at hand which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue due to social stigmas attached to substance abuse. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that treatment clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person so that their own personal challenges can be treated in treatment.