Hearing impaired individuals tend to have a greater risk of substance abuse issues due to their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that come with having this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem because of social stigmas attached to drug use. Nonetheless, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure rehab clients can know that they're not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for each individual so that their own problems can be handled in rehabilitation.