Hearing impaired persons generally have a greater probability of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which serves their needs. Individuals who are hearing impaired can appear isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their issue due to social stigmas that come with abusing drugs. Having said that, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions to ensure treatment clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services may be more tailored for each person to ensure that their own challenges can be treated in treatment.