Hearing impaired persons generally have a greater chance of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, 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 experience a temporary release from the emotional and psychological problems that come with possessing this handicap in everyday life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their problem as a result of social stigmas attached to substance abuse. Having said that, alcohol and drug treatment counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure that rehabilitation clients can know they are not alone, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure that their unique challenges can be treated in rehabilitation.