Hearing impaired individuals generally have a heightened probability of substance abuse issues because of the impairment, and rehab services must be available to them which cater to their needs. People who are hearing impaired can feel alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their problem due to social stigmas attached to drug abuse. Nonetheless, alcohol and drug rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer interactions so that rehabilitation clients can know they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services can be more tailored for everybody to ensure their own personal challenges can be remedied in treatment.