The 2022 floods submerged one-third of Pakistan. Caused by extreme rainfall at a time of year when Indus River levels were at their highest due to melting snow in Pakistan’s mountainous north, the effects of the flooding were devastating. Millions of people lost their homes and livelihoods and were impacted by death and disability. The floods brought about severe damage and economic loss to already marginalised communities within the Sindh and Khyber Pakhtunkhwa (KP) provinces. This study aimed to identify the gaps and challenges in addressing psychosocial traumas from community, family and individual perspectives by understanding the lived experiences and positive methods of dealing with the different traumas of the flood-affected communities, in particular children. Furthermore, the study aimed to help create health and wellbeing indicators and a monitoring tool, by collaborating with communities to understand their needs and priorities through economic, environmental and social impacts on mental health and wellbeing.