Hearing impaired individuals generally have an increased probability of substance abuse issues due to their impairment, and rehabilitation services should be available which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and be without goals because of their impairment. Some 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 problems that come with possessing this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue because of social stigmas that come with abusing drugs. Nonetheless, drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure treatment clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure that their unique challenges can be remedied in rehabilitation.