Hearing impaired individuals generally have a heightened likelihood of substance abuse issues due to their impairment, and rehab services should be available which cater to their needs. Individuals who are hearing impaired can feel alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that accompany possessing this handicap in life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may try and hide their problem because of social stigmas that come with substance abuse. Having said that, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as are treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions in order that rehab clients can know that they are not alone, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services might be more tailored for everybody to ensure their own challenges can be handled in rehab.