Hearing impaired men and women generally have a heightened risk of substance abuse issues because of the impairment, and rehabilitation services must be available which serves their circumstances. Individuals who are hearing impaired can feel isolated, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and have a temporary release from the emotional and psychological problems that come with possessing this handicap in daily life. In the first place, detecting a drug and alcohol abuse problem among the hearing impaired is usually a challenge, since these individuals may try to hide their issue as a result of social stigmas that come with abusing drugs. Nonetheless, alcohol and drug rehabilitation counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation 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 support to ensure that rehab clients can know that they're not alone, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each person to ensure their particular problems can be remedied in rehabilitation.