Hearing impaired persons generally have an increased probability of substance abuse issues because of their impairment, and rehabilitation services must be available to them which serves their needs. People who are hearing impaired can seem to be isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with possessing this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue due to social stigmas that come with drug abuse. However, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that rehab clients can know that they're not alone, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for each person to ensure their own personal challenges can be addressed in treatment.