Hearing impaired persons generally have a heightened likelihood of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may attempt to hide their problem due to social stigmas attached to drug abuse. However, drug rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure treatment clients can know they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services might be more tailor-made for each individual so that their particular problems can be handled in treatment.