Hearing impaired individuals generally have an increased probability of substance abuse issues because of their impairment, and rehabilitation services should be at hand which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem due to social stigmas that come with abusing drugs. Nonetheless, drug and alcohol rehabilitation counselors who provide rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehab clients can know that they're not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services might be more tailored for each individual so that their own challenges can be treated in rehab.