Hearing impaired men and women tend to have a heightened risk of substance abuse issues because of the impairment, and rehab services should be available which cater to their needs. Those who are hearing impaired can appear isolated, lack motivation, and be without goals due to their impairment. Some hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that come with possessing this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue because of social stigmas that come with drug use. Having said that, drug and alcohol rehab counselors who offer rehabilitation to hearing impaired individuals understand the challenges these clients face. ASL treatment services are of course a necessity, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions to ensure treatment clients can know that they are not on their own, and that there is hope to resolve their problem with alcohol and drugs. Individual counseling services may be more tailor-made for each individual to ensure that their particular challenges can be handled in treatment.