Hearing impaired individuals generally have an elevated probability of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which cater to their needs. Individuals who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide 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 life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem because of social stigmas attached to abusing drugs. However, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure that rehab clients can know that they're not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services may be more tailor-made for everybody to ensure their own problems can be remedied in rehabilitation.