Hearing impaired persons generally have a heightened probability of substance abuse issues because of their impairment, and treatment services have to be available to them which serves their needs. People who are hearing impaired can feel isolated, unmotivated, 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 have a temporary escape from the psychological and emotional problems that come with possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue as a result of social stigmas that come with drug use. Having said that, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each individual so that their unique challenges can be handled in rehab.