Hearing impaired individuals generally have an increased probability of drug use issues due to their impairment, and rehab services must be available to them which serves their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue because of social stigmas that come with abusing drugs. Having said that, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure treatment clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services might be more tailored for each individual so that their unique challenges can be handled in rehab.