Hearing impaired individuals generally have an increased chance of drug use issues due to their impairment, and rehabilitation services must be at hand which cater to their needs. Those who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may make an attempt to hide their issue because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support to ensure that rehabilitation clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailored for each individual to ensure that their particular problems can be handled in rehab.