Hearing impaired individuals tend to have a greater probability of substance abuse issues due to their impairment, and rehabilitation services must be available which cater to their circumstances. People who are hearing impaired can feel isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with drug use. Nonetheless, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure that rehabilitation 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 to ensure their own personal problems can be remedied in treatment.