In this conversation, Paul F. Austin speaks with Dr. Dave Rabin, neuroscientist, board-certified psychiatrist, and co-founder of Apollo Neuroscience, about one of the most important questions in psychedelic work: why do some journeys become overwhelming, destabilizing, or difficult to integrate? Find full show notes and links here: https://thethirdwave.co/podcast/episode-362/?ref=278 Dave explains why safety is not just a matter of set, setting, or a strong screening form. It is a physiological state in the nervous system. Together, Paul and Dave explore how fear, trauma, and dysregulation can shape a person's ability to receive and process a psychedelic experience, and why preparation must include a deeper understanding of the body. The conversation also covers pre-session nervous system assessment, vagus nerve activity, HRV, haptic vibration, breathwork, therapeutic touch, consent, and the role of tools like Apollo Neuro in helping clients feel safe enough to surrender, process, and integrate. Dr. David Rabin, MD, PhD, is a neuroscientist, board-certified psychiatrist, health-tech entrepreneur, and inventor who has studied the impact of chronic stress in humans for more than a decade. He is the co-founder and Chief Innovation Officer at Apollo Neuroscience, and co-founder and executive director of the Board of Medicine, a nonprofit organization establishing evidence-based clinical guidelines for the safe use of unregulated alternative medicines, including plant medicines. His research focuses on non-invasive therapies for treatment-resistant conditions, trauma recovery, psychedelic-assisted psychotherapy, and the neurobiology of belief. Highlights: Why safety is physiological Beyond set and setting How fear interrupts healing Pre-session nervous system assessment MDMA and the safety cascade Haptic vibration and soothing touch HRV as a preparation signal Breathwork for embodied regulation Consent and therapeutic touch Scaling safe psychedelic care Episode Links: Apollo Neuro Dr. Dave Rabin on Instagram Dr. Dave's Book, "A Simple Guide to Being Alive" Episode Sponsors: The Practitioner Certification Program by Third Wave's Psychedelic Coaching Institute. The Microdosing Practitioner Certification at Psychedelic Coaching Institute. Golden Rule - Get a lifetime discount of 10% with code THIRDWAVE at checkout These show links may contain affiliate links. Third Wave receives a small percentage of the product price if you purchase through the above affiliate links. Disclaimer: This content is for educational, informational, and entertainment purposes only. We do not promote or encourage the illegal use of any controlled substances. Nothing said here is medical or legal advice. Always consult a qualified medical or mental health professional before making decisions related to your health. The views expressed herein belong to the speaker alone, and do not reflect the views of any other person, company, or organization. Third Wave occasionally partners with or shares information about other people, companies, and/or providers. While we work hard to only share information about ethical and responsible third parties, we can't and don't control the behavior of, products and services offered by, or the statements made by people, companies, or providers other than Third Wave. Accordingly, we encourage you to research for yourself, and consult a medical, legal, or financial professional before making decisions in those areas. Third Wave isn't responsible for the statements, conduct, services, or products of third parties. If we share a coupon code, we may receive a commission from sales arising from customers who use our coupon code. No one is required to use our coupon codes.