Hearing impaired men and women generally have a heightened risk of substance abuse issues due to their impairment, and rehab services must be available to them which cater to their circumstances. Those who are hearing impaired can appear alone, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological problems that come with having this handicap in daily life. To start with, detecting an alcohol and drug abuse problem among the hearing impaired is usually a challenge, because these individuals may attempt to hide their problem because of social stigmas attached to abusing drugs. Nonetheless, drug rehab counselors who provide rehab to hearing impaired individuals understand the challenges these clients face. ASL rehab services are of course a necessity, as well as rehab services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehab clients can know that they are not alone, and that there is hope to handle their problem with drugs and alcohol. Individual therapy services may be more tailor-made for each person so that their particular problems can be treated in rehabilitation.