Hearing impaired persons tend to have a heightened probability of substance abuse issues because of the impairment, and rehabilitation services have to be available to them which serves their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue as a result of social stigmas attached to drug abuse. Nonetheless, alcohol and drug treatment counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides 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 handle their problem with drugs and alcohol. Individual therapy services could be more tailor-made for each individual to ensure that their own personal challenges can be addressed in rehab.