Hearing impaired persons generally have a heightened probability of substance abuse issues because of the impairment, and rehabilitation services must be at hand which cater to their needs. Those who are hearing impaired can feel alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that accompany possessing this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their problem due to social stigmas attached to abusing drugs. Having said that, drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support in order that rehab clients can know that they're not alone, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for everybody so that their particular challenges can be remedied in rehabilitation.