Hearing impaired individuals tend to have a greater chance of substance abuse issues due to their impairment, and rehab services should be available which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional problems that come with possessing this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their problem because of social stigmas that come with abusing drugs. Having said that, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailored for each individual so that their own problems can be treated in treatment.