Hearing impaired individuals generally have a heightened chance of substance abuse issues because of their impairment, and rehabilitation services should be available to them which cater to their circumstances. People who are hearing impaired can appear alone, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological problems that come with having this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem due to social stigmas attached to drug use. Having said that, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions to ensure rehabilitation clients can know they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each individual so that their particular challenges can be treated in rehab.