Hearing impaired persons tend to have an increased chance of substance abuse issues because of the impairment, and rehab services have to be at hand which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue due to social stigmas attached to substance abuse. However, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals understand the challenges 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 venue for important peer support in order that treatment clients can know that they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailored for each person to ensure that their unique problems can be treated in rehabilitation.