Hearing impaired men and women generally have an elevated risk of drug abuse issues because of the impairment, and rehabilitation services should be available which cater to their needs. Individuals who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then elect to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional challenges that come with having this handicap in life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try and hide their issue because of social stigmas attached to abusing drugs. Having said that, alcohol and drug treatment counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support to ensure that rehab clients can know they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure their unique problems can be handled in treatment.