Hearing impaired individuals generally have a heightened chance of substance abuse issues due to their impairment, and rehabilitation services must be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the psychological and emotional problems that accompany having this handicap in everyday life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their issue as a result of social stigmas that come with drug use. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual therapy services might be more tailor-made for each individual so that their own personal challenges can be handled in rehabilitation.