Hearing impaired men and women generally have an elevated risk of substance abuse issues because of the impairment, and treatment services have to be available which serves their needs. Those who are hearing impaired can seem to be isolated, unmotivated, and goalless because of the impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their issue as a result of social stigmas attached to drug use. Having said that, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions in order that rehab clients can know that they are not alone, and that there's hope to resolve their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for everybody so that their unique challenges can be treated in rehab.