Hearing impaired individuals generally have a heightened chance of substance abuse issues because of their impairment, and rehabilitation services must be available which cater to their circumstances. People who are hearing impaired can appear isolated, unmotivated, and goalless because of the impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the emotional and psychological problems that come with possessing this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem as a result of social stigmas that come with substance abuse. Nonetheless, drug rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure rehab clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services can be more tailored for each person to ensure their unique problems can be handled in rehabilitation.