Hearing impaired individuals tend to have an increased probability of substance abuse issues because of their impairment, and rehab services have to be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then opt 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 daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem because of social stigmas that come with abusing drugs. Nonetheless, drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure rehab clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each person to ensure that their particular problems can be treated in treatment.