Hearing impaired persons generally have an increased chance of substance abuse issues because of their impairment, and rehabilitation services have to be available which cater to their circumstances. People who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem due to social stigmas attached to drug use. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support in order that rehab clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure their own problems can be treated in rehabilitation.