Hearing impaired persons tend to have an elevated probability of drug abuse issues due to their impairment, and rehab services have to be available to them which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless because of their impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem due to social stigmas that come with substance abuse. However, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure rehabilitation clients can know that they're not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure their own personal problems can be addressed in rehabilitation.