Hearing impaired persons tend to have an increased likelihood of substance abuse issues because of the impairment, and rehabilitation services must be available which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of 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 emotional and psychological problems that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue due to social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure rehabilitation clients can know that they're not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for everybody to ensure that their unique challenges can be handled in rehab.