Hearing impaired men and women tend to have a greater risk of drug abuse issues due to their impairment, and rehab services must be available to them which serves their circumstances. Individuals who are hearing impaired can seem to be alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may attempt to hide their problem as a result of social stigmas attached to substance abuse. Having said that, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support in order that rehabilitation clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services might be more tailor-made for everybody to ensure that their own personal challenges can be treated in rehab.