Hearing impaired men and women generally have an elevated risk of substance abuse issues because of their impairment, and rehab services have to be available which serves their needs. Those who are hearing impaired can seem to be alone, 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 release from the psychological and emotional challenges that accompany possessing this handicap in daily life. To start with, detecting a substance abuse problem among the hearing impaired is usually a challenge, because these individuals may try to hide their issue because of social stigmas attached to drug use. Having said that, drug rehab counselors who provide rehab to hearing impaired individuals see the challenges these clients face. ASL treatment services are of course a necessity, as well as rehab services which address the particular challenges that hearing impaired individuals encounter. Group therapy gives a venue for important peer support so that rehabilitation clients can know they are not alone, and that there's hope to handle their challenge with alcohol and drugs. Individual counseling services may be more tailor-made for everybody so that their own problems can be addressed in rehab.