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This dissertation explores the psychosocial consequences of climate change and psychosocial adaptation opportunities in High River, Alberta. Influenced by the theoretical approach of Political Ecology, I investigate community impacts and community-based mental health responses in High River following the 2013 Southern Alberta floods. Research methods include: a desktop climate change and health vulnerability and adaptation assessment that includes over 116 data sources; telephone interviews with key informant health and social services leaders (n = 14); four focus group sessions with front-line health and social services workers (n = 14); and, semi-structured interviews (n = 18) with a sample of community-members exposed to the 2013 flood and who self-identify in any one or more ways: female, youth, elderly, non-white, someone living in a low socio-economic status, someone with pre-existing health concerns. A total of 46 participants were recruited in this research. Results of the empirical investigation in High River are showcased in three manuscripts. The first manuscript, informed by critical Political Ecology, is an investigation of sociopolitical conditions that influence health inequities and adaptation opportunities (or lack thereof) in a changing climate in High River. The second is an empirical exploration of the long-term psychosocial consequences of the 2013 flood, relating these