Hearing impaired individuals tend to have a heightened risk of substance abuse issues because of their impairment, and treatment services have to be available which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may try and hide their issue as a result of social stigmas attached to drug abuse. Nonetheless, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that rehabilitation clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person to ensure their unique problems can be handled in rehabilitation.