Hearing impaired persons generally have a greater probability of substance abuse issues due to their impairment, and rehab services must be available which cater to their needs. People who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then opt 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. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure that treatment clients can know that they're not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure that their own challenges can be treated in rehab.