Hearing impaired individuals generally have a heightened probability of drug abuse issues due to their impairment, and rehabilitation services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological problems that come with possessing this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their problem as a result of social stigmas that come with substance abuse. Having said that, drug and alcohol rehabilitation counselors who provide 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 face. Group therapy offers a forum for important peer interactions in order that rehab clients can know that they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for everybody to ensure that their own personal problems can be treated in rehabilitation.