Hearing impaired individuals generally have an elevated likelihood of substance abuse issues because of the impairment, and rehabilitation services should be at hand which serves their circumstances. People who are hearing impaired can appear isolated, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas attached to drug abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each person so that their own personal problems can be handled in treatment.