Hearing impaired individuals tend to have an increased chance of substance abuse issues because of the impairment, and rehabilitation services must be available which serves their needs. People who are hearing impaired can appear isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem because of social stigmas attached to substance abuse. Nonetheless, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer interactions in order that treatment clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailor-made for each individual so that their particular challenges can be addressed in rehabilitation.