Hearing impaired persons tend to have an elevated probability of substance abuse issues due to their impairment, and rehab services have to be available which cater to their needs. Those who are hearing impaired can seem to be alone, lack motivation, and be without goals due to their 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 psychological and emotional challenges that accompany having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their problem as a result of social stigmas that come with drug abuse. Having said that, drug and alcohol treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailored for everybody so that their own personal problems can be handled in rehabilitation.