Hearing impaired individuals generally have an elevated probability of substance abuse issues due to their impairment, and rehab services should be available which serves their needs. Those who are hearing impaired can feel alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue due to social stigmas that come with substance abuse. Having said that, drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support in order that treatment clients can know that they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each person to ensure their own challenges can be treated in rehabilitation.