Hearing impaired persons generally have a greater chance of substance abuse issues because of the impairment, and rehab services have to be available which cater to their circumstances. Those who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then choose 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 daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, as these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. However, drug treatment counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that treatment clients can know that they're not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services can be more tailor-made for each person so that their own personal challenges can be treated in treatment.