Steve Elfrink, a pioneer with over 40 years of experience in psychedelic medicine and integrative healing, is the founder of OmTerra (www.omterra.org). In this podcast, Steve focuses on his groundbreaking hypothesis of Psychedelic Iatrogenic Structural Dissociation (PISD), which was recently published in Frontiers in Psychology (co-authored by Leigh Bergin). Drawing from his own deeply personal journey—from a transformative yet destabilizing ayahuasca ceremony in a sacred Southern Wisconsin valley to years of navigating dissociative trauma—Steve shares how these experiences led him to explore how psychedelics can deconstruct dissociative processes and potentially release trauma too quickly. With his expertise in legal psilocybin facilitation in Oregon and Psycholytic Somatic Integration Therapy (PSIT) using low-dose ketamine for PTSD and C-PTSD, Steve offers unique insights into the importance of cautious, titrated psychedelic sessions and somatic integration. Join him as he recounts his personal story, unpacks the science behind PISD, and discusses the transformative yet sometimes challenging nature of psychedelic therapy.