Hearing impaired individuals generally have a heightened probability of substance abuse issues because of their impairment, and rehab services must be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of their impairment. Many 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 having this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their problem as a result of social stigmas that come with abusing drugs. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehab clients can know that they are not alone, and that there's hope to handle their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each individual to ensure their particular problems can be handled in rehabilitation.