Hearing impaired persons tend to have an elevated chance of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological problems that come with possessing this handicap in life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue due to social stigmas attached to drug use. However, drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure treatment clients can know they are not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each person to ensure their particular challenges can be treated in rehab.