Hearing impaired individuals generally have a greater likelihood of substance abuse issues due to their impairment, and rehabilitation services should be available to them which cater to their circumstances. People who are hearing impaired can appear isolated, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their issue as a result of social stigmas attached to substance abuse. Having said that, drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support to ensure rehab clients can know that they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailor-made for each person so that their unique challenges can be addressed in rehab.