Hearing impaired persons tend to have a greater likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which serves their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and be without goals due to their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their issue due to social stigmas attached to drug use. Having said that, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support so that rehab clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each individual to ensure that their own personal challenges can be treated in treatment.