Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues because of the impairment, and rehabilitation services should be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer support in order that rehab clients can know they are not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for each person so that their own problems can be treated in treatment.