Hearing impaired persons generally have a greater likelihood of substance abuse issues because of their impairment, and rehab services should be available to them which cater to their needs. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, as these individuals may try to hide their problem due to social stigmas that come with substance abuse. Having said that, alcohol and drug treatment counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure that rehab clients can know that 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 tailor-made for each person to ensure their own problems can be handled in treatment.