Hearing impaired persons tend to have a greater chance of substance abuse issues because of their impairment, and rehab services have to be available which serves their needs. People who are hearing impaired can appear isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. To begin with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem as a result of social stigmas that come with drug use. Having said that, alcohol and drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure that treatment clients can know that they are not alone, and that there is hope to resolve their problem with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure their own personal challenges can be addressed in rehabilitation.