Hearing impaired men and women generally have an elevated risk of drug use issues because of the impairment, and treatment services must be available which serves their needs. Those who are hearing impaired can appear isolated, lack motivation, and be without goals because of the impairment. Many hearing impaired individuals then opt to self medicate with drugs or alcohol to numb this pain and experience a temporary escape from the psychological and emotional challenges that come with possessing this handicap in life. In the first place, detecting an alcohol and drug abuse problem among the hearing impaired is often a challenge, because these individuals may make an attempt to hide their problem due to social stigmas that come with drug abuse. However, alcohol and drug rehab counselors who offer rehab to hearing impaired individuals see the challenges these clients face. ASL rehabilitation services are of course a necessity, as well as treatment services which address the unique challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support in order that rehab clients can know they are not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual therapy services could be more tailored for each person to ensure that their particular challenges can be treated in rehab.