Hearing impaired men and women generally have a heightened risk of drug use issues because of their impairment, and rehab services must be available which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their problem due to social stigmas that come with drug use. However, drug rehab counselors who provide rehabilitation to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a forum for important peer interactions so that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with alcohol and drugs. Individual counseling services might be more tailor-made for each individual to ensure that their particular problems can be addressed in rehab.