Hearing impaired individuals generally have an elevated chance of substance abuse issues due to their impairment, and rehab services must be at hand which serves their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and goalless for their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the psychological and emotional problems that accompany having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is generally a challenge, since these individuals may try and hide their issue as a result of social stigmas attached to drug use. Nonetheless, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as are rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer interactions in order that rehab clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services could be more tailor-made for each person to ensure their own problems can be treated in rehab.