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This paper provides an overview of specific considerations for counselors when working with DHH parents who have experienced adult-child estrangement. Estrangement is a process continuum brought about by schisms between adult-children and their parents/caregivers. Topics for consideration include early childhood attachment styles, issues surrounding emerging adulthood, psychological well-being, and resilience of DHH clients. Recommendations are offered to clinicians working with DHH clients. Specific individual, couples, and family counseling approaches are recommended as likely modalities to address the needs of clients embroiled in estrangement experiences.