Hearing impaired individuals generally have a heightened risk of substance abuse issues because of their impairment, and rehabilitation services must be available to them which serves their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try to hide their problem because of social stigmas that come with drug abuse. Nonetheless, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals understand 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 offers a venue for important peer interactions to ensure that rehabilitation clients can know that they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual counseling services may be more tailored for everybody to ensure their own challenges can be remedied in treatment.