Hearing impaired individuals tend to have a greater chance of substance abuse issues because of their impairment, and rehab services have to be at hand which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then elect 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 everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue because of social stigmas attached to drug use. Nonetheless, drug rehab counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure rehabilitation clients can know that they're not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each individual to ensure that their own personal challenges can be treated in rehabilitation.