Hearing impaired individuals generally have a greater probability of substance abuse issues because of their impairment, and treatment services should be at hand which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, 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 accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try and hide their problem because of social stigmas attached to drug use. Having said that, drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that rehab clients can know that they're not on their own, and that there is hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each person to ensure that their own personal problems can be handled in rehab.