Hearing impaired persons generally have a greater chance of substance abuse issues because of their impairment, and rehab services must be at hand which serves their needs. People who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological problems that accompany possessing this handicap in daily life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem because of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a must, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure rehab clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for everybody to ensure their particular challenges can be treated in rehab.