top of page

Trust and Surrender in Psychedelic-Assisted Psychotherapy: The Medicine Most of Us Are Missing

  • Writer: Demian Gitnacht, MD, MPH, FAAFP
    Demian Gitnacht, MD, MPH, FAAFP
  • Aug 13
  • 3 min read

Let’s be honest. Trusting someone enough to close your eyes, drift inward, and let your mind explore isn’t easy. It takes courage to let someone witness your process—especially when that process involves medicine that can stir up deep emotions. Add a needle, a doctor, a therapist, and a room you’ve only visited once or twice, and it can feel like a lot. True healing isn’t just about showing up. It’s about softening, being present, and letting go of the rusty armor we carry—the armor that no longer serves us.


At Kalea Wellness, we’ve seen the power of psychedelic-assisted psychotherapy. We’ve also seen what happens when trust is missing. When the nervous system stays braced and the mind hyper-alert, the medicine can only go so far. It’s like turning the key in the ignition but never shifting out of park. The session happens, but it doesn’t move. This isn’t about trying harder or adjusting the dose—it’s about feeling safe enough to let go.


That’s why the therapeutic alliance is everything. You need to know that the people guiding you have your back. That your therapist is fully present, tracking your process, holding a safe and grounded space. That your doctor is paying close attention to every detail and won’t let anything slip by. You’re not supposed to do this alone. When things get intense, strange, or overwhelming, you need to feel the presence of trained professionals who will guide you home. Without that trust, the body stays guarded—and surrender doesn’t come.


Finding the right therapist and doctor isn’t optional; it’s essential. You shouldn’t feel like you have to “perform” your healing or say the right things to please anyone. You should feel free to say, “This isn’t working for me,” or “I feel uncomfortable,” and know it will be met with care and collaboration, not judgment. Some clients need a therapist with calm, quiet energy; others need someone animated and expressive. Some want structure; others prefer spontaneity. There’s no one-size-fits-all. What matters is feeling met, not managed. Seen, not assessed. Held, not handled.


We are not here to push a needle and walk away. We track your breathing, your expressions, the subtle shifts in your body. We’re ready to step in when needed, and step back when the space needs to be yours. We come with you into this non-ordinary space—not just as observers, but as guardians of your safety. When the medicine lifts you into the unknown, we’re right there. And we’ll be there when it’s time to return to your body, to this room, to your life.


This work asks you to participate—not just by showing up but by claiming the experience as your own. Healing doesn’t come from checking boxes; it comes from stepping into the process in a way that feels authentic. That’s why customization matters. If masculine energy feels too intense for you, ask for a female presence. If a blanket over your feet makes you feel safe, say so. If a certain scent is unsettling, we’ll skip it. These details aren’t small; they’re signals to your body that it’s safe to soften.


Even with all the right pieces in place, surrender isn’t guaranteed. It may take two or three sessions to truly let go—and that’s okay. Some people have spent decades holding everything together. Letting go, even for an hour, can feel terrifying. The medicine will meet you where you are. It won’t push. But the more you meet it with trust and curiosity, the more it can offer.


And if you find yourself holding back? That’s part of the work too. Maybe the tension in your chest is the very thing that needs attention. Maybe not being able to let go is the message. Healing isn’t always about disappearing into the stars. Sometimes it’s about sitting with the resistance until it no longer feels necessary.


So if you’re preparing for your first session—or your fifth—ask yourself: What do I need in the room to feel safe? What would help me soften? What part of me still feels guarded, and why? These aren’t just questions. They’re doorways.


At Kalea Wellness, we hold space for the full spectrum of human experience—the messy, the scared, the curious, the ready, and the not-quite-ready. You get to show up as you are. And when you’re ready to take that next step into your healing, we’ll be here. You bring the questions. We’ll hold the space.


woman looking out into the sunset

Comentarios


bottom of page