Hearing impaired men and women generally have an increased risk of substance abuse issues due to their impairment, and rehab services should be available which serves their circumstances. Those who are hearing impaired can seem to be isolated, unmotivated, and be without goals 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 problems that accompany having this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired is often a challenge, because these individuals may try and hide their issue due to social stigmas that come with abusing drugs. Having said that, drug and alcohol rehabilitation counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a forum for important peer interactions to ensure that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services could be more tailor-made for each individual so that their own personal problems can be handled in rehab.