Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which serves their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Many 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 problems that come with possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their issue because of social stigmas that come with substance abuse. However, 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 must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure that rehabilitation clients can know that they're not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailor-made for each individual so that their particular problems can be handled in rehab.