Hearing impaired individuals tend to have an increased risk of substance abuse issues because of the impairment, and rehabilitation services should be at hand which serves their needs. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their issue because of social stigmas attached to abusing drugs. However, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer support to ensure rehabilitation clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure their own personal problems can be addressed in treatment.