Hearing impaired persons tend to have an elevated probability of substance abuse issues because of their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may make an attempt to hide their problem because of social stigmas attached to drug abuse. Having said that, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure rehab clients can know that they're not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each person so that their own personal challenges can be handled in rehabilitation.