Hearing impaired individuals tend to have an increased probability of substance abuse issues due to their impairment, and rehabilitation services must be at hand which cater to their needs. Those who are hearing impaired can feel isolated, lack motivation, 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 challenges that accompany possessing this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue due to social stigmas attached to drug use. Nonetheless, drug and alcohol rehab counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support in order that rehabilitation clients can know that they're not alone, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailored for each individual to ensure their unique problems can be addressed in treatment.