Hearing impaired individuals generally have a greater likelihood of drug use issues because of the impairment, and rehabilitation services must be available which serves their circumstances. People who are hearing impaired can appear isolated, unmotivated, and be without goals due to 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 accompany possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to drug use. However, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehab clients can know they are not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for each person to ensure their own problems can be remedied in rehab.