Hearing impaired individuals tend to have a greater chance of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which serves their needs. People who are hearing impaired can appear 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 experience a temporary release from the psychological and emotional challenges that accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem due to social stigmas attached to substance abuse. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure rehab clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person so that their particular problems can be handled in rehab.