Hearing impaired individuals generally have an elevated probability of substance abuse issues due to their impairment, and rehabilitation services have to be at hand which cater to their circumstances. Individuals who are hearing impaired can seem to be isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then elect 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 possessing this handicap in everyday life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, as these individuals may try to hide their issue because of social stigmas that come with abusing drugs. However, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions to ensure that rehabilitation clients can know they are not alone, and that there's hope to handle their problem with drugs and alcohol. Individual counseling services could be more tailored for each person to ensure their own personal challenges can be remedied in treatment.