Hearing impaired men and women tend to have an elevated risk of drug use issues because of the impairment, and rehab services should be available which cater to their needs. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and have a temporary release from the emotional and psychological challenges that accompany having this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their issue because of social stigmas that come with drug abuse. Having said that, drug and alcohol rehab counselors who offer rehab to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals face. Group therapy provides a forum for important peer interactions to ensure that rehab clients can know they are not alone, and that there is hope to handle their challenge with alcohol and drugs. Individual counseling services could be more tailored for everybody to ensure that their unique challenges can be handled in rehab.