Hearing impaired individuals generally have an elevated likelihood of substance abuse issues because of the impairment, and rehab services have to be available to them which cater to their needs. People who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas that come with substance abuse. Nonetheless, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailor-made for everybody so that their own personal problems can be handled in rehab.