Hearing impaired men and women generally have an elevated risk of substance abuse issues because of their impairment, and rehab services should be at hand which cater to their needs. People who are hearing impaired can seem to be isolated, unmotivated, and be without goals because of their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological problems that come with having this handicap in life. To begin with, detecting an alcohol and drug abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their problem as a result of social stigmas attached to drug abuse. Having said that, drug and alcohol rehab counselors who provide treatment to hearing impaired individuals understand the challenges these clients face. ASL rehabilitation services are definitely a necessity, as well as rehabilitation services which address the particular challenges that hearing impaired individuals face. Group therapy provides a venue for important peer support so that rehab clients can know that they're not alone, and that there's hope to resolve their problem with drugs and alcohol. Individual counseling services may be more tailor-made for each individual to ensure that their own personal problems can be handled in rehabilitation.