Hearing impaired persons tend to have a heightened probability of substance abuse issues due to their impairment, and rehab services have to be at hand which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Having said that, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that treatment clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailor-made for each person so that their particular challenges can be treated in rehab.