Hearing impaired persons generally have a greater chance of substance abuse issues due to their impairment, and rehabilitation services have to be at hand which cater to their circumstances. Individuals who are hearing impaired can feel alone, lack motivation, and goalless because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may make an attempt to hide their issue due to social stigmas attached to abusing drugs. However, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehab services are definitely a must, as are treatment services which address the unique challenges that hearing impaired individuals face. Group therapy gives a forum for important peer interactions to ensure that rehab clients can know they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailored for each person so that their own challenges can be handled in rehab.