Hearing impaired individuals tend to have an elevated likelihood of substance abuse issues due to their impairment, and rehabilitation services must be available which serves their needs. Those who are hearing impaired can appear alone, lack motivation, and be without goals due to 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 emotional and psychological problems that come with having this handicap in life. In the first place, detecting a drug and alcohol 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 attached to substance abuse. Having said that, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals comprehend 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 gives a venue for important peer support in order that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailored for everybody to ensure that their own problems can be remedied in rehab.