Hearing impaired men and women generally have a heightened risk of substance abuse issues due to their impairment, and treatment services should be at hand which cater to their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many 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 accompany possessing this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem as a result of social stigmas attached to abusing drugs. Having said that, drug rehab counselors who offer treatment 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 venue for important peer support in order that rehab clients can know that they're not alone, and that there is hope to handle their challenge with drugs and alcohol. Individual therapy services might be more tailored for each individual to ensure that their own challenges can be remedied in rehab.