Background: post-intensive Care Syndrome-Family (PICS-F) refers to the psychological, social, and functional complications experienced by families of ICU patients after discharge. Globally, 30–50% of families develop anxiety or depression, and 20–40% experience post-traumatic stress, yet PICS-F remains under-researched in Saudi Arabia. Objective: This paper aims to determine the obstacles that PICS-F presents in the Saudi context and to recommend policies for trauma-informed and family centered critical care. Methodology: A narrative literature review and policy analysis were conducted using international and regional research published between 2013 and 2025. Sources examined included studies on ICU family experiences, PICS-F prevalence, and Saudi or GCC healthcare policies. Findings: Results indicated a considerable degree of misunderstanding, the absence of mental health interventions in ICU routines, inadequate family involvement, and the lack of uniform support plans for caregivers. Conclusion: The paper proposes culturally sensitive interventions such as flexible visitation policies, structured family meetings, post-ICU multidisciplinary clinics, and the development of national guidelines to reduce policy-practice gaps and enhance family well-being. Addressing PICS F in Saudi Arabia supports families in coping with prolonged emotional and psychological stress and aligns with Vision 2030 healthcare transformation goals by embracing a humane and trauma informed approach to critical care.