Hearing impaired persons generally have a greater chance of substance abuse issues because of their impairment, and rehabilitation services must be available which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their issue because of social stigmas that come with drug abuse. Nonetheless, drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services might be more tailored for everybody so that their unique problems can be handled in rehab.