Hearing impaired individuals tend to have an elevated probability of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that come with having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may attempt to hide their issue because of social stigmas attached to drug use. However, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are definitely a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that rehabilitation clients can know that they're not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailored for everybody to ensure their particular problems can be addressed in rehab.