Owner Stories & Lessons

FAQs

What do psychiatrists wish they'd known before selling?

The recurring themes are: start preparing earlier than feels necessary, reduce how much the practice depends on you personally, understand that diligence will test every number, and weigh staff and patient continuity alongside price. Most regret is about timing and preparation, not about the decision to sell.

The accounts in this category are anonymized or shared with written consent, and many are composites drawn from common patterns rather than a single identifiable practice. Psychiatry Insider treats confidentiality as absolute and never implies that a specific reader or practice is “in play.”

Going to market unprepared — or accepting an unsolicited offer without testing it — comes up most. The second is underestimating how owner-dependent the practice was, which surfaced only in diligence and pressured the price.

Regret is far more often about how they sold — too fast, too alone, too late to prepare — than whether they sold. Owners who prepared early and ran a competitive, advised process tend to describe the outcome as something they directed.

By making continuity a stated priority in buyer selection and in the deal terms, not an afterthought. The buyer’s track record with acquired teams, retention commitments, and the transition plan all matter — and a competitive process gives a seller the leverage to insist on them.