Hearing impaired men and women tend to have an elevated risk of drug abuse issues because of their impairment, and rehabilitation services must be at hand which serves their needs. Those who are hearing impaired can appear alone, unmotivated, and be without goals for their impairment. Many hearing impaired individuals then elect to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional problems that accompany having this handicap in life. Firstly, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, because these individuals may attempt to hide their issue as a result of social stigmas attached to substance abuse. However, drug rehab counselors who offer rehabilitation to hearing impaired individuals see the challenges that these clients face. ASL rehab services are of course a necessity, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a forum for important peer interactions so that treatment clients can know they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual therapy services may be more tailor-made for each individual to ensure their own challenges can be remedied in rehab.