Hearing impaired individuals generally have an elevated likelihood of substance abuse issues due to their impairment, and rehabilitation services must be at hand which serves their needs. Those who are hearing impaired can seem to be isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with possessing this handicap in everyday life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem because of social stigmas attached to drug use. Having said that, drug and alcohol rehab counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehab services are of course a necessity, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that rehabilitation clients can know that they're not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services can be more tailored for each individual so that their own personal challenges can be remedied in rehabilitation.