Hearing impaired individuals generally have a heightened probability of drug use issues because of their impairment, and rehabilitation services must be available to them which serves their circumstances. People who are hearing impaired can seem to be isolated, lack motivation, and goalless for their 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 emotional and psychological problems that accompany possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem due to social stigmas that come with abusing drugs. Having said that, drug and alcohol rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that rehab clients can know that they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each individual to ensure their own problems can be addressed in rehab.