Hearing impaired persons tend to have a greater chance of substance abuse issues due to their impairment, and rehabilitation services have to be available which serves their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their issue due to social stigmas that come with drug abuse. However, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions to ensure rehabilitation clients can know that they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for each person so that their particular challenges can be remedied in rehabilitation.