Hearing impaired persons generally have a heightened likelihood of substance abuse issues because of the impairment, and rehabilitation services should be at hand which cater to their needs. People who are hearing impaired can seem to be alone, lack motivation, and be without goals because of their impairment. Many hearing impaired individuals then elect 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 everyday life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem due to social stigmas that come with drug abuse. Nonetheless, drug rehabilitation counselors who offer treatment to hearing impaired individuals comprehend the challenges that these clients face. ASL rehabilitation services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that treatment clients can know that they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailor-made for each individual so that their unique challenges can be treated in rehab.