Hearing impaired individuals generally have a greater chance of substance abuse issues because of their impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can feel isolated, lack motivation, and be without goals 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 escape from the emotional and psychological challenges that come with having this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired is generally a challenge, as these individuals may try and hide their problem as a result of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy gives a venue for important peer interactions in order that rehabilitation clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailored for each person to ensure that their unique problems can be handled in treatment.