Hearing impaired men and women generally have a heightened risk of drug abuse issues because of their impairment, and rehab services must be available which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and goalless due to their impairment. Some hearing impaired individuals then decide 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 everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their problem because of social stigmas that come with drug abuse. Nonetheless, alcohol and drug rehab counselors who offer treatment to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure treatment clients can know they are not on their own, and that there is hope to handle their challenge with drugs and alcohol. Individual counseling services may be more tailor-made for each individual to ensure that their own problems can be handled in treatment.