Hearing impaired persons tend to have an increased chance of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which serves their circumstances. Those who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological challenges that come with possessing this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem due to social stigmas attached to substance abuse. However, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment 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 on their own, and that there's hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailor-made for each individual so that their particular problems can be treated in rehabilitation.