Hearing impaired persons tend to have a greater chance of substance abuse issues because of the impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can feel alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may make an attempt to hide their issue as a result of social stigmas attached to drug abuse. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions so that treatment clients can know they are not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services could be more tailored for everybody to ensure their own challenges can be addressed in treatment.