Hearing impaired men and women generally have a heightened risk of drug abuse issues due to their impairment, and rehabilitation services must be available which serves their circumstances. Individuals who are hearing impaired can appear isolated, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the emotional and psychological challenges that accompany having this handicap in daily life. In the first place, detecting a substance abuse problem among the hearing impaired is often a challenge, since these individuals may try and hide their problem due to social stigmas that come with substance abuse. Nonetheless, drug and alcohol rehabilitation counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support to ensure that rehab clients can know that they're not on their own, and that there is hope to resolve their challenge with drugs and alcohol. Individual therapy services might be more tailored for each person to ensure that their unique problems can be treated in treatment.