
Why Great Psychiatrists Often Struggle as Business Owners—And How to Fix It

You went to school to become a great psychiatrist. Not a business owner. But now you’re wearing both hats, and no one ever trained you how to run a business. That’s where things start to get tricky.
The Root Problem
Most psychiatrists assume that because they’re smart and capable, they can figure out the business side. But managing staff, overseeing finances, and handling operations takes a totally different skill set. Without systems and processes, you're stuck in reaction mode: putting out fires, chasing payments, and wondering when the high level of discomfort is going to end.
The Impact
You feel frustrated. You’re overworked, underpaid, and constantly questioning whether owning your own practice was the right move. You might even think, "Maybe I'm just not cut out for this."
You're not the problem. The lack of business training is.
The Fix
Here's what to do next:
1. Time Management & Productivity
Block 2 hours per week, twice a week, to work on the business, not in it.
Put this in your calendar and protect it like it's a first date or an event that you will be gifted $1mil.
Use that time to GROW your business, review key numbers, improve one system, or train a team member.
2. Start with Just 3 Metrics
Number of new patient inquiries per week
No-Show rate (What % of booked appointments no show)
Monthly revenue
Track these weekly. Don’t over complicate it.
3. Create One Repeatable Process per Week
Start with your intake process. Write it out.
Share it with staff.
Make sure EVERYONE is following the same process.
4. Get Support
Don’t try to do this alone. Involve one of your team members and give them an opportunity to show their A-Player skills and leadership.
Final Thoughts
Being a great psychiatrist doesn’t mean you automatically know how to run a business. It means your focus has been on patient care—not payroll, processes, or marketing funnels. MindPractice was built by people who understand both sides of the practice. We can help simplify repetitive admin tasks, automate follow-up, and train your team.
Take the Next Step: Let’s Talk
Transform your practice and maximize your practice’s potential with coaching services designed to streamline operations, boost revenue, and build a high performing team.
Our Business Coaching services are designed to help practice owners regain control by getting laser focused on the priorities that generate revenue and profits.
Schedule a free 15-minute call to discuss your goals and help you map out your next steps.