Hearing impaired men and women generally have a greater risk of substance abuse issues because of their impairment, and treatment services should be available which serves their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their 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 having this handicap in everyday life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may try and hide their issue as a result of social stigmas that come with drug use. Nonetheless, drug rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions so that rehab clients can know that they're not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailor-made for each individual so that their unique problems can be addressed in rehab.