Hearing impaired men and women generally have a greater risk of drug use issues due to their impairment, and rehabilitation services should be at hand which cater to their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of the impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the emotional and psychological challenges that come with having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may make an attempt to hide their issue due to social stigmas that come with abusing drugs. However, drug and alcohol treatment counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a must, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a forum for important peer support to ensure that rehab clients can know that they're not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure their own personal problems can be addressed in rehab.