Hearing impaired persons tend to have an increased likelihood of drug abuse issues because of the impairment, and rehabilitation services have to be available which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. Nonetheless, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services can be more tailor-made for each person to ensure that their own problems can be remedied in rehab.