Hearing impaired individuals generally have an increased probability of substance abuse issues because of their impairment, and rehabilitation services must be available which cater to their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know that they're not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for everybody so that their unique problems can be addressed in treatment.