Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of the impairment, and rehab services have to be available to them which cater to their needs. People who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem because of social stigmas attached to abusing drugs. However, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure treatment clients can know that they are not on their own, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services can be more tailored for each person to ensure their own personal challenges can be handled in treatment.