Hearing impaired men and women generally have an elevated risk of drug use issues because of their impairment, and rehab services must be available to them which cater to their needs. Individuals who are hearing impaired can seem to be 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 escape from the psychological and emotional challenges that come with having this handicap in daily life. To begin with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem due to social stigmas that come with abusing drugs. Having said that, drug rehab counselors who offer rehab to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know that they're not on their own, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services might be more tailored for each person so that their own personal challenges can be handled in treatment.