Hearing impaired individuals generally have an elevated likelihood of substance abuse issues because of the impairment, and rehab services must be available to them which cater to their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to abusing drugs. Having said that, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that treatment clients can know that they're not alone, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure that their particular challenges can be remedied in treatment.