Hearing impaired men and women tend to have a greater risk of substance abuse issues because of the impairment, and rehabilitation services should be at hand which serves their circumstances. Individuals who are hearing impaired can seem to be isolated, unmotivated, and goalless due to their impairment. Many hearing impaired individuals then opt to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. Firstly, detecting a substance abuse problem among the hearing impaired is usually a challenge, since these individuals may make an attempt to hide their problem as a result of social stigmas that come with abusing drugs. However, drug and alcohol rehabilitation counselors who provide rehab to hearing impaired individuals understand the challenges that these clients face. ASL rehabilitation services are of course a must, as well as treatment services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer support to ensure treatment clients can know they are not on their own, and that there's hope to resolve their problem with alcohol and drugs. Individual counseling services might be more tailored for each person to ensure their own problems can be remedied in rehabilitation.