Hearing impaired individuals tend to have an increased likelihood of substance abuse issues because of their impairment, and rehabilitation services have to be available to them which serves their needs. Individuals who are hearing impaired can feel alone, lack motivation, and goalless due to their impairment. Many 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 daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue due to social stigmas attached to substance abuse. Nonetheless, drug rehabilitation counselors who provide treatment to hearing impaired individuals see the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehab clients can know that they're not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure that their unique challenges can be handled in treatment.