Hearing impaired persons tend to have a greater likelihood of substance abuse issues due to their impairment, and rehab services should be available to them which serves their needs. Individuals who are hearing impaired can seem to be 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 experience a temporary escape from the emotional and psychological problems that come with having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem due to social stigmas that come with substance abuse. Having said that, drug rehab counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual counseling services can be more tailored for everybody so that their own problems can be handled in rehab.