Hearing impaired individuals generally have an elevated chance of substance abuse issues because of the impairment, and rehab services have to be available which cater to their needs. Those who are hearing impaired can seem to be alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue because of social stigmas attached to abusing drugs. Having said that, alcohol and drug rehabilitation counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehabilitation clients can know that they're not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services could be more tailor-made for each individual to ensure that their own problems can be addressed in rehabilitation.