Hearing impaired individuals tend to have an elevated probability of drug abuse issues due to their impairment, and rehabilitation services have to be at hand which serves their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that come with having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their issue as a result of social stigmas that come with substance abuse. Having said that, alcohol and drug rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support to ensure that rehab clients can know that they're not on their own, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services might be more tailor-made for each person to ensure their own personal problems can be addressed in treatment.