Hearing impaired men and women generally have a heightened risk of drug abuse issues because of the impairment, and treatment services should be available to them which serves their needs. People who are hearing impaired can appear isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary escape from the emotional and psychological challenges that come with possessing this handicap in everyday life. In the first place, detecting a substance abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their problem because of social stigmas attached to drug use. Having said that, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals see the challenges that these clients face. ASL rehabilitation services are definitely a must, as are rehab services which address the particular challenges that hearing impaired individuals face. Group therapy gives a forum for important peer support in order that treatment clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailored for each person to ensure their particular problems can be remedied in rehab.