Hearing impaired men and women generally have an elevated risk of substance abuse issues because of the impairment, and rehabilitation services have to be at hand which cater to their circumstances. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals for their impairment. Some hearing impaired individuals then choose to self medicate with drugs or alcohol to numb this pain and have a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. To begin with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try and hide their problem due to social stigmas attached to drug abuse. However, drug and alcohol treatment counselors who provide rehab to hearing impaired individuals comprehend the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer interactions so that treatment clients can know that they are not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each person to ensure that their own personal problems can be handled in rehab.