Hearing impaired individuals tend to have a heightened probability of substance abuse issues due to their impairment, and rehab services have to be available which serves their circumstances. People who are hearing impaired can appear alone, lack motivation, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue because of social stigmas that come with substance abuse. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions in order that rehab clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailored for each person so that their own challenges can be addressed in rehab.