It has long been recognized that PTSD does not cover the spectrum of traumatic stress responses seen in trauma survivors. Exposure to prolonged and catastrophic trauma appears to fundamentally overwhelm individuals coping responses and can shatter fundamental approaches to processing experiences of the world and the sense of self. A large body of research generated with survivors of severe trauma and from documenting the trauma histories of individuals presenting with psychotic disorders that has found substantial overlap between the experiences of these populations. The nature of traumatic dissociation has many features in common with the first rank psychotic symptoms commonly associated with psychotic disorders such as schizophrenia. Severe dissociative responses lead to a fracturing of the capacity for self-integration associated with which is commonly saturated with psychotic experiences. This talk will aim to provide an overview of the body of research looking at posttraumatic psychosis and dissociation as the clinical frameworks for supporting people in their recovery and rehabilitation journeys.