Hearing impaired individuals generally have an increased chance of substance abuse issues because of their impairment, and rehab services have to be available which cater to their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may attempt to hide their issue due to social stigmas attached to abusing drugs. Nonetheless, drug rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that rehabilitation clients can know that they are not on their own, and that there is hope to resolve their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for everybody to ensure that their own challenges can be remedied in treatment.