Hearing impaired individuals tend to have a greater likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available to them which serves their needs. Those who are hearing impaired can feel alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue as a result of social stigmas that come with abusing drugs. However, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure rehab clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailored for everybody to ensure their own problems can be addressed in rehabilitation.