Hearing impaired individuals generally have a heightened likelihood of substance abuse issues because of their impairment, and rehab services must be available to them which serves their needs. Individuals who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, as these individuals may make an attempt to hide their issue because of social stigmas that come with substance abuse. However, alcohol and drug rehabilitation counselors who provide rehabilitation to hearing impaired individuals comprehend the challenges these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure rehabilitation clients can know that they are not on their own, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services could be more tailored for each person to ensure that their own problems can be remedied in treatment.