Hearing impaired men and women tend to have a heightened risk of substance abuse issues because of their impairment, and rehabilitation services must be available which serves their circumstances. Those who are hearing impaired can appear isolated, unmotivated, and goalless for their impairment. Some hearing impaired individuals then decide to self medicate with drugs or alcohol to numb this pain and have a temporary release from the psychological and emotional problems that accompany possessing this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, because these individuals may try and hide their issue because of social stigmas that come with drug use. Nonetheless, drug rehab counselors who provide treatment to hearing impaired individuals comprehend the challenges these clients face. ASL rehabilitation services are of course a necessity, as are rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy offers a venue for important peer interactions so that rehabilitation clients can know that they're not alone, and that there is hope to handle their problem with alcohol and drugs. Individual therapy services could be more tailored for each individual to ensure that their own personal challenges can be remedied in rehabilitation.