Hearing impaired persons generally have a greater 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 appear alone, unmotivated, and goalless for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to drug use. Nonetheless, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions in order that treatment clients can know that they're not on their own, and that there's hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person to ensure that their own challenges can be remedied in rehabilitation.