Why Healing Isn’t Linear
- Demian Gitnacht, MD, MPH, FAAFP

- Feb 5
- 4 min read
Psychedelic Medicine and the Unlearning of Western Expectations

Most people approach healing with a map already drawn.
They expect progress to look like improvement. They expect relief to move in a straight line. They expect that if something works, it should keep working in the same direction, at the same pace, without interruption. They expect fewer symptoms each week, better sleep that never regresses, mood scores that steadily climb, and a clear sense that they are “getting better” rather than simply changing. This expectation is not accidental. It is deeply shaped by Western models of medicine, productivity, and success, where value is measured by outcomes, timelines, and visible forward motion.
Psychedelic medicine disrupts this expectation almost immediately. This is why healing isn’t linear in this work, and why attempts to measure progress by comfort, speed, or symptom reduction alone often fall short.
People often come into this work hoping to feel better, lighter, calmer, or more functional. Many arrive asking a familiar question: “How many sessions until I feel normal again?” Sometimes relief does come quickly. Other times, what emerges first is grief, confusion, vulnerability, or an unexpected confrontation with parts of the self long avoided. A person may leave a session feeling open and peaceful, only to find themselves emotionally raw, irritable, or unsettled days later. The experience can feel like moving backward just as much as moving forward. From a Western lens, this can feel unsettling or even discouraging. From a deeper healing perspective, it is often exactly what needs to happen.
Healing in psychedelic medicine is rarely linear because human beings are not linear systems.
Western medicine has excelled at addressing acute, isolated problems. An infection is treated with 10 days of antibiotics. A fracture is repaired. A tumor is removed. These models rely on predictability and control, and they save lives every day. If pain persists after treatment, it is labeled a complication or failure of the intervention. But when applied to psychological suffering, trauma, and existential distress, the same expectations can become limiting. The nervous system does not heal like a broken bone. Meaning does not resolve on a schedule. Trauma does not unwind in neat stages.
Psychedelic experiences tend to reveal this truth rather than conceal it.
A single session may bring profound clarity, followed by days or weeks of emotional turbulence. Someone may reconnect with joy one week and feel deep sadness the next, not because the medicine “stopped working,” but because a deeper layer is now accessible. A sense of peace may arise, then dissolve, only to return later in a different form. Old memories may surface not to retraumatize, but to be felt fully for the first time. What looks like regression through a linear lens is often reorganization through a nonlinear one. This can feel confusing to those accustomed to measuring success by symptom reduction alone. Yet many people later recognize that these nonlinear movements were not detours. They were the work itself.
In many non-Western healing traditions, this pattern is not only accepted, it is expected.
Indigenous and ancestral healing practices across cultures have long understood healing as cyclical, relational, and deeply contextual. In these frameworks, distress is not viewed solely as pathology, but as a signal of imbalance within the individual, the community, or the relationship to meaning itself. Ceremonial healing often involves periods of emotional intensity, symbolic death, or disorientation before any sense of resolution appears. Healing rituals may include grief before gratitude, fear before insight, or silence before understanding. The goal is not constant comfort. The goal is restoration of wholeness.
Psychedelic medicine, when practiced with intention and care, often aligns more closely with these traditions than with Western expectations of efficiency and control.
This is one reason integration is not optional. Without context, nonlinear healing can be misinterpreted as failure. A difficult session may be seen as a setback rather than an opening. Emotional intensity may be labeled as regression rather than reorganization. Without integration, people may abandon the work prematurely, believing something has gone wrong when something meaningful is unfolding. Integration provides the container in which meaning is made, patterns are recognized, and growth is allowed to unfold without forcing it into a timeline.
There is also a deeper challenge embedded in this process. Psychedelic medicine does not just ask people to heal. It asks them to unlearn.
It asks them to release the belief that progress must be constant. It asks them to tolerate uncertainty without immediately fixing it. It asks them to trust that discomfort can be purposeful, and that not knowing can be a form of wisdom rather than a flaw. For those raised in cultures that reward certainty, speed, and visible achievement, this can feel profoundly uncomfortable. For a culture conditioned to equate worth with productivity and healing with speed, this can feel radical.
Yet many people eventually report something unexpected. When healing stops being a race, it becomes more honest. When the pressure to improve is lifted, something softer and more sustainable can emerge. Healing begins to look less like arriving somewhere new and more like remembering something that was always there. It becomes less about eliminating symptoms and more about developing a different relationship with them.
This does not mean psychedelic medicine is unpredictable or unsafe when practiced responsibly. It means that its intelligence operates on a different timeline than most people are taught to expect. It works with the psyche rather than against it. It respects the complexity of being human. Progress may show up as increased self awareness, greater emotional range, or the ability to sit with discomfort without collapsing, long before it shows up as feeling “better.”
In a world that rewards linear growth, psychedelic healing offers a different invitation. One that values depth over speed, meaning over metrics, and presence over performance.
At Kalea Wellness, we approach healing with this understanding. Not as a promise of quick fixes, but as a process that honors the full arc of human experience. For those who feel called to explore healing beyond straight lines and simple answers, there is room to do so with care, curiosity, and respect.
Sometimes, the most important progress is learning how to walk a path without demanding that it be straight.




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