Hearing impaired individuals generally have an increased likelihood of substance abuse issues due to their impairment, and rehabilitation services should be available which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and goalless due to their impairment. Some 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 problems that accompany having this handicap in everyday life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their issue due to social stigmas that come with drug use. Having said that, alcohol and drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support to ensure that rehabilitation clients can know they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure their own challenges can be addressed in rehabilitation.