Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of their impairment, and rehab services should be available to them which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem because of social stigmas that come with drug use. Nonetheless, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure rehabilitation clients can know that they are not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each individual to ensure their own problems can be handled in rehab.