Hearing impaired persons tend to have a greater chance of substance abuse issues because of the impairment, and rehab services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their issue because of social stigmas attached to drug use. However, drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure treatment clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailored for everybody to ensure that their own personal problems can be treated in rehabilitation.