Hearing impaired men and women tend to have an elevated risk of substance abuse issues because of the impairment, and rehab services have to be available which cater to their needs. People who are hearing impaired can feel isolated, unmotivated, and goalless due to their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that come with having this handicap in daily life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may attempt to hide their issue due to social stigmas that come with drug use. However, alcohol and drug treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support so that rehab clients can know they are not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for each individual to ensure that their particular problems can be remedied in rehabilitation.