Hearing impaired persons generally have a heightened probability of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their circumstances. Those who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem as a result of social stigmas attached to drug abuse. Having said that, alcohol and drug treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure treatment clients can know they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for everybody to ensure their particular challenges can be addressed in rehabilitation.