Hearing impaired persons tend to have a heightened likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may attempt to hide their issue as a result of social stigmas that come with drug use. Having said that, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehab clients can know they are not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailored for each person to ensure that their particular problems can be treated in rehabilitation.