Hearing impaired individuals tend to have a heightened chance of substance abuse issues due to their impairment, and rehab services have to be available which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, drug and alcohol treatment counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue 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 drugs and alcohol. Individual counseling services can be more tailor-made for everybody to ensure their particular challenges can be addressed in rehabilitation.