Hearing impaired men and women tend to have an elevated risk of substance abuse issues because of their impairment, and rehab services have to be at hand which cater to their circumstances. Those who are hearing impaired can feel isolated, unmotivated, and be without goals because of the impairment. Many hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and experience a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To start with, detecting a substance abuse problem among the hearing impaired can be a challenge, since these individuals may try to hide their problem because of social stigmas attached to drug use. Having said that, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are definitely a necessity, as are rehabilitation services which address the unique challenges that hearing impaired individuals face. Group therapy offers a forum for important peer support so that rehabilitation clients can know they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services could be more tailor-made for each person so that their own personal problems can be handled in rehab.