Hearing impaired persons tend to have an elevated likelihood of drug abuse issues because of their impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem due to social stigmas attached to substance abuse. Having said that, alcohol and drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure rehab clients can know that they're not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services might be more tailor-made for everybody so that their own personal challenges can be treated in rehab.