Hearing impaired persons tend to have an elevated chance of substance abuse issues because of their impairment, and rehabilitation services should be at hand which serves their needs. Those who are hearing impaired can appear 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 release from the emotional and psychological problems that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support in order that treatment clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services can be more tailored for each individual to ensure their own personal problems can be handled in treatment.