Hearing impaired persons generally have an elevated likelihood of drug abuse issues because of their impairment, and rehab services must be available which cater to their needs. People who are hearing impaired can appear isolated, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem as a result of social stigmas that come with drug use. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that rehab clients can know they are not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each person to ensure that their unique problems can be handled in rehab.