Hearing impaired persons generally have a greater probability of substance abuse issues because of the impairment, and rehabilitation services should be available which serves their needs. Individuals who are hearing impaired can feel alone, unmotivated, and be without goals for 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 come with having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem as a result of social stigmas attached to substance abuse. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions so that treatment clients can know that they're not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for everybody to ensure that their own personal challenges can be remedied in treatment.