Hearing impaired persons generally have an increased chance of substance abuse issues because of the impairment, and rehab services should be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try to hide their issue because of social stigmas attached to substance abuse. Having said that, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure rehabilitation clients can know that they're not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each individual to ensure that their own personal challenges can be treated in rehab.