Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of the impairment, and rehab services must be available which cater to their needs. Those who are hearing impaired can feel alone, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue as a result of social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure rehabilitation clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services can be more tailored for everybody to ensure that their own personal challenges can be handled in rehab.