Hearing impaired persons generally have an increased probability of substance abuse issues because of the impairment, and rehabilitation services should be at hand which serves their circumstances. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany possessing this handicap in daily life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, because these individuals may make an attempt to hide their issue due to social stigmas that come with drug use. Nonetheless, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions in order that rehab clients can know they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual counseling services might be more tailored for each individual so that their own problems can be addressed in treatment.