Hearing impaired persons tend to have an elevated chance of drug use issues because of the impairment, and rehab services have to be available which cater to their circumstances. Those who are hearing impaired can appear isolated, lack motivation, and goalless because of their impairment. Many hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in life. Firstly, detecting a substance abuse problem among the hearing impaired is generally a challenge, since these individuals may attempt to hide their issue because of social stigmas that come with abusing drugs. However, alcohol and drug rehab 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 rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions so that rehab clients can know that they're not on their own, and that there's hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure that their particular problems can be remedied in rehabilitation.