Hearing impaired persons generally have an increased likelihood of substance abuse issues because of the impairment, and rehab services have to be available to them which serves their circumstances. People who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological problems that accompany having this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem because of social stigmas attached to drug use. Having said that, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer support to ensure rehabilitation clients can know that they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services may be more tailored for each individual to ensure their particular challenges can be remedied in rehabilitation.