Hearing impaired men and women tend to have a heightened risk of drug use issues because of the impairment, and rehabilitation services have to be available to them which cater to their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that come with possessing this handicap in everyday life. To begin with, detecting an alcohol and drug 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 drug use. Having said that, drug and alcohol rehab counselors who provide rehabilitation to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are definitely a must, as well as rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a venue for important peer support to ensure that rehab clients can know they are not on their own, and that there's hope to handle their problem with drugs and alcohol. Individual therapy services could be more tailored for everybody to ensure their unique problems can be addressed in treatment.