Hearing impaired persons tend to have a heightened probability of substance abuse issues because of their impairment, and rehab services should be at hand which serves their circumstances. People who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their problem due to social stigmas that come with drug use. Having said that, drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support so that treatment clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailored for each individual so that their own personal challenges can be handled in rehabilitation.