Hearing impaired individuals generally have an increased chance of substance abuse issues because of their impairment, and rehabilitation services should be available which serves their needs. Those who are hearing impaired can feel alone, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany having this handicap in daily life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try to hide their problem due to social stigmas attached to drug abuse. Nonetheless, drug rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions so that rehab 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 tailor-made for everybody so that their particular problems can be handled in rehab.