Hearing impaired individuals generally have a heightened probability of substance abuse issues because of the impairment, and rehab services must be available to them which serves their needs. People who are hearing impaired can feel isolated, lack motivation, and goalless due to their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany possessing this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may make an attempt to hide their problem due to social stigmas attached to abusing drugs. However, drug treatment counselors who offer rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are definitely a necessity, as are 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 is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailored for each person to ensure their particular challenges can be addressed in treatment.