Hearing impaired persons generally have a greater probability of substance abuse issues because of their impairment, and rehabilitation services must be available which serves their circumstances. Those who are hearing impaired can appear alone, unmotivated, and goalless for their impairment. Some hearing impaired individuals then elect 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 life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try to hide their issue due to social stigmas attached to abusing drugs. Nonetheless, alcohol and drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehab clients can know that they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each individual to ensure their own challenges can be treated in treatment.