Hearing impaired men and women generally have a heightened risk of substance abuse issues because of their impairment, and rehab services must be available to them which cater to their circumstances. Individuals who are hearing impaired can appear alone, lack motivation, and be without goals for their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that accompany having this handicap in everyday life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, as these individuals may try to hide their problem because of social stigmas that come with substance abuse. Nonetheless, alcohol and drug rehabilitation counselors who provide treatment to hearing impaired individuals understand the challenges that these clients face. ASL treatment services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so 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 might be more tailored for each individual so that their unique challenges can be treated in rehab.