Visiting a classroom or playground in the sprawling camps now home to Iraqis who have fled Isis, it can take a while to realise what’s missing at first.

There are colourful posters and drawings on the walls, toys to play with, music and games. But the sound of kids laughing, annoying each other and joining in the words to songs is muted.

Many children have obvious difficulty having fun as they associate music – banned for so long – with punishment. Some are so traumatised by what they’ve witnessed over the last three years that they’ve lost the ability to speak.

In pictures: Mosul offensive Show all 40 1 /40 In pictures: Mosul offensive In pictures: Mosul offensive A doctor carries an Iraqi newborn baby at a hospital in Mosul, Iraq July 18, 2017. Reuters In pictures: Mosul offensive Iraqi girls play at a yard of a school in Mosul, Iraq July 18, 2017alal Reuters In pictures: Mosul offensive A woman on crutches who is a relative of men accused of being Islamic State militants is seen at a camp in Bartella, east of Mosul, Iraq July 15, 2017. Picture taken July 15, 2017. Reuters In pictures: Mosul offensive A displaced girl, who fled from home carries a doll at Hamam al-Alil camp south of Mosul, Iraq July 13, 2017. Reuters In pictures: Mosul offensive Iraqi federal police members and civilians celebrate in the Old City of Mosul on 9 July 2017 after the government's announcement of the "liberation" of the embattled city. Iraqi Prime Minister Haider al-Abadi's office said he was in "liberated" Mosul to congratulate "the heroic fighters and the Iraqi people on the achievement of the major victory" AFP/Getty Images In pictures: Mosul offensive A picture taken on 9 July 2017, shows a general view of the destruction in Mosul's Old City. Iraq will announce imminently a final victory in the nearly nine-month offensive to retake Mosul from jihadists, a US general said Saturday, as celebrations broke out among police forces in the city. AFP In pictures: Mosul offensive Members of the Iraqi federal police raise the victory gesture as they ride on a humvee while advancing through the Old City of Mosul on 28 June 2017, as the offensive continues to retake the last district held by Islamic State (IS) group fighters. AFP/Getty Images In pictures: Mosul offensive Smoke billows as Iraqi forces advance through the Old City of Mosul on 26 June 2017, during the ongoing offensive to retake the last district held by the Islamic State (IS) group. AFP/Getty Images In pictures: Mosul offensive An Iraqi man wearing the green scarf of the Shi'ite faith kisses an Iraqi Army soldier on safely reaching the Iraqi forces position as Iraqi civilians flee the Old City of west Mosul where heavy fighting continues on 23 June 2017. Iraqi forces continue to encounter stiff resistance with improvised explosive devices, car bombs, heavy mortar fire and snipers hampering their advance. Getty Images In pictures: Mosul offensive A picture taken from the inside of an Iraqi forces armoured vehicle shows residents walking through a damaged street as troops advance towards Mosul's Old City on 18 June 2017, during the ongoing offensive to retake the last district still held by the Islamic State (IS) group. Military commanders told AFP the assault had begun at dawn after overnight air strikes by the US-led coalition backing Iraqi forces. They said the jihadists were putting up fierce resistance. AFP/Getty Images In pictures: Mosul offensive Iraqi Army soldiers advance in a destroyed street after an Iraqi forces airstrike targeted an Islamic State sniper position 17 June 2017 in al-Shifa, the last district of west Mosul under Islamic State control. IS snipers, as well as car and suicide bomb attacks continue to hinder the Iraqi forces efforts to retake the final district. A series of airstrikes by Iraqi helicopter gunships attempted to hit multiple Islamic State sniper positions in al-Shifa. Getty Images In pictures: Mosul offensive An Iraqi soldier frisks a displaced Iraqi man at a temporary camp in the compound of the closed Nineveh International Hotel in Mosul on 16 June 2017 which was recovered by Iraqi troops from Islamic State group fighters earlier in the year. A screening centre set up in the compound's fairgrounds sees a constant stream of Iraqis fleeing the battle for Mosul, awaiting their turn to be checked by the Iraqi forces who are searching for suspected Islamic State (IS) group members. The small fairground lies at the end of a pontoon bridge across the Tigris recently opened to civilians that is the only physical link between the two banks of the river. AFP/Getty Images In pictures: Mosul offensive Iraqis staying at the al-Khazir camp swim in a river near the camp for internally displaced people, located between Arbil and Mosul on 11 June 2017. AFP/Getty Images In pictures: Mosul offensive Iraqi government forces drive on a road leading to Tal Afar on 9 June 2017, during ongoing battles to retake the city from Islamic State (IS) group fighters. AFP/Getty Images In pictures: Mosul offensive An Iraqi policeman carries a poster bearing an image of Mosul's iconic leaning minaret, known as the "Hadba" (Hunchback), on 22 June 2017. AFP/Getty Images In pictures: Mosul offensive Iraqis stand in line to receive food aid in western Mosul's Zanjili neighbourhood on 7 June 2017, during ongoing battles as Iraqi forces try to retake the city from Islamic State (IS) group fighters. Living conditions in Mosul have again deteriorated since the start of the Iraqi government's offensive on the city in October in which they retook a large part of the west of the city. AFP/Getty Images In pictures: Mosul offensive Displaced Iraqis carry lightbulbs and sacks as they evacuate from western Mosul's Zanjili neighbourhood as government forces advance in the area during their ongoing battle against Islamic State (IS) group fighters on 13 May 2017 AFP/Getty Images In pictures: Mosul offensive A member of the Iraqi Counter-Terrorism Service (CTS) flashes the victory gesture as he patrols in western Mosul's al-Islah al-Zaraye neighbourhood on 13 May 2017 AFP/Getty Images In pictures: Mosul offensive Iraqi army soldiers from the 9th armoured division on a truck flash the sign of victory as they drive back from Mosul to the town of Qaraqosh (also known as Hamdaniya) Getty In pictures: Mosul offensive Members of Iraqi forces flash the sign of victory on their vehicle as they advance towards Hammam al-Alil area south of Mosul Getty In pictures: Mosul offensive A member of Iraqi security forces gestures in Hammam al-Alil, south of Mosul, Iraq Reuters In pictures: Mosul offensive Iraqi children, one flashing the sign of victory, greet Iraqi army's soldiers from the 9th armoured division in the area of Ali Rash, adjacent to the eastern Al-Intissar neighbourhood of Mosul Getty In pictures: Mosul offensive Peshmerga forces look at a tunnel used by Islamic State militants near the town of Bashiqa, east of Mosul, during an operation to attack Islamic State militants in Mosul, Iraq Reuters In pictures: Mosul offensive An Iraqi soldier takes a photograph with his phone as his comrade stands next to a detained man, whom the Iraqi army soldiers accused of being an Islamic State fighter, who was fleeing with his family in the Intisar disrict of eastern Mosul, Iraq Reuters In pictures: Mosul offensive Iranian Kurdish female members of the Freedom Party of Kurdistan (PAK) hold a position in an area near the town of Bashiqa, some 25 kilometres north east of Mosul Getty In pictures: Mosul offensive Iraqi families, who fled their homes in Hamam al-Alil, gather on the outskirts of their town Getty In pictures: Mosul offensive Displaced people walk past a checkpoint near Qayara, south of Mosul, Iraq AP In pictures: Mosul offensive Iraqi families who were displaced by the ongoing operation by Iraqi forces against jihadists of the Islamic State group to retake the city of Mosul, are seen gathering in an area near Qayyarah In pictures: Mosul offensive A boy who just fled Abu Jarbuah village is seen with his family at a Kurdish Peshmerga position between two front lines near Bashiqa, east of Mosul, Iraq Reuters In pictures: Mosul offensive An Iraqi child eats a pomegranate upon the arrival of Iraqi forces in the village of Umm Mahahir, south of Mosul Getty In pictures: Mosul offensive People who just fled Abu Jarbuah village sit as they eat at a Kurdish Peshmerga position between two front lines near Bashiqa, east of Mosul, Iraq Reuters In pictures: Mosul offensive A couple who just fled Abu Jarbuah village are escorted by Kurdish Peshmerga soldiers Reuters In pictures: Mosul offensive Women carry a boy over a wall as civilians flee their houses in the village of Tob Zawa, Iraq AP In pictures: Mosul offensive An Iraqi soldier and a civilian ride a motorbike as smoke rises behind them, on the road between Qayyarah and Mosul Getty In pictures: Mosul offensive A member of Iraqi forces, wearing a skull mask, waits at a checkpoint for people fleeing the main hub city of Mosul Getty In pictures: Mosul offensive An Iraqi soldier sits at a checkpoint in an area near Qayyarah Getty In pictures: Mosul offensive Iraqi men prepare food portions for Iraqi forces deployed in areas south of Mosul Getty In pictures: Mosul offensive Iraqi forces celebrate upon the arrival of vehicles bringing food to them Getty In pictures: Mosul offensive Iraqi childen smoke cigarettes upon the arrival of Iraqi forces in the village of Umm Mahahir, south of Mosul Getty In pictures: Mosul offensive A member of Iraqi forces distributes drinks to children in the village of Umm Mahahir, south of Mosul Getty

“What was striking was how introverted and withdrawn children have become. They rarely even smiled. It was as though they had lost the ability to be children,” said Dr Marcia Brophy, Save the Children’s senior mental health adviser for the Middle East of her research.

Every family has experienced the loss of their home, and 90 per cent of children interviewed for a new report from Save the Children have lost loved ones since Isis swept across a third of Iraq from neighbouring Syria in 2014.

“You would see people getting killed in the streets. And we didn’t have anything. They denied us everything, even playing,” said 11-year-old Sara, whose name has been changed. “No food, nothing at all.

“They killed my brother in front of me. They said he was passing information to the army. What can we do?”

The US-backed Iraqi coalition has already declared victory in the nine-month-long fight for Mosul, but the announcement has been criticised as premature by many. Fighting in the city continues and Isis clings on to considerable territory all the way up to the Syrian border.

And while almost all of the 600,000 children estimated to live in the city and surrounding Nineveh province are now safer in camps or the homes of relatives, the violence they’ve seen and endured stays with them.

All 65 children interviewed by experts are suffering from toxic stress, and mental images of an unidentified “thing”, “person” or “monster” are so vivid they appear to haunt children during the day as well as at night, Save the Children found.

The psychological damage is severe, and charities are warning a future risk of stigma and abuse – as well as arbitrary detainment by coalition forces – lies ahead.

While every parent will say they took their children out of school during the Isis occupation, where curricula reflected the extremist ideology, around half were probably forced to keep their children enrolled, said Rob Williams, CEO of WarChild UK.

Drone footage shows the devastation in Mosul's old city and the destroyed al-Nuri Mosque

“We are worried that now Isis is gone these kids will face being ostracised or worse by their communities. It’s like France at the end of the Second World War.

“I met a child used as a human shield during my last visit. When his family managed to return home to Mosul, ‘You are Daesh’ [the Arabic word for Isis] was graffitied over the house and now he’s too scared to go home because of what might happen.”

With psychological rehabilitation and sustained community reconciliation efforts, it is entirely possible for Mosul’s children to grow up to lead normal and stable lives.

Yet despite the fact that psychological support for both children and adults is a key factor in preventing further radicalisation and ending the cycle of conflict, most programmes are chronically underfunded with just two per cent of funding needs met.

Donor governments have been slow to respond to the UN’s 2017 Humanitarian Response Plan for the region, which only has 43 per cent of the necessary funding to implement any help at all – let alone mental health assistance.

“We’ve pulled the tooth of the Isis occupiers but we’ve left a gaping hole”, Rob Williams of WarChild said. “Who knows what infection will fill it again in future?