Hearing impaired persons tend to have a greater likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available which cater to their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem due to social stigmas attached to drug use. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehab clients can know they are not alone, and that there is hope to resolve their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure their own personal challenges can be remedied in rehab.