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23 Feb 2026

Inside-out leadership: putting emotion first

Inside-out leadership: putting emotion first
In a candid conversation, Dr Sarika Shah and Anna Roberts explore why emotionally intelligent practices start with people, not performance.

Why does clinical excellence now need to be matched with emotionally intelligent leadership and marketing to sustain practice momentum?

Sarika: Clinical excellence is non-negotiable in dentistry. But it is not enough on its own to sustain growth and success. Practices rarely stagnate because standards drop. They stagnate because people become disconnected.

Emotionally intelligent leadership creates the conditions where clinical excellence can be delivered consistently. It allows teams to feel psychologically safe, valued and motivated to bring their best selves to work every day. Without that emotional infrastructure, even the most skilled teams eventually lose energy, passion and momentum.

Anna: I see many practices delivering excellent dentistry and still struggling to build trust or relevance. Marketing becomes busy and visible, but it doesn’t land. It focuses almost entirely on the what and the how and, as consumers, we simply don’t connect with that. We glaze over it. It’s vanilla.

For me, that’s always a sign that something deeper is misaligned. Marketing should always translate your value around the why. When a message is built around the why, it doesn’t just inform, it moves people. It creates relevance, trust and emotional connection. When leadership, culture and purpose are aligned, marketing has something real to translate. When they aren’t, no amount of activity creates momentum, regardless of clinical quality.

What are the early warning signs that a practice is emotionally out of alignment?

Sarika: Emotional fatigue often develops quietly and can be easy to miss. I see it as emotional withdrawal, with loss of enthusiasm, increased defensiveness and reduced collaboration. People may still perform competently, but the energy and pride to go above and beyond begin to fade. In UK dentistry, where both NHS and private teams have been under sustained pressure for several years, these warning signs are often normalised rather than recognised as indicators of deeper disengagement.

Anna: If your ads promise a caring, patient-first experience but the reality feels rushed or transactional, patients notice. They may come once, but they won’t stay. Credibility takes a hit.

Over time, the brand becomes diluted. A strong brand isn’t just a logo or colour palette; it’s a system of cues. When those cues don’t align, the golden thread breaks. The cost is real, as marketing activity stops converting and staff morale suffers when teams are asked to communicate promises they don’t see lived day-to-day.

How can emotionally intelligent leadership prevent burnout rather than simply respond to it?

Sarika: Preventing burnout requires leaders to notice patterns early rather than waiting for a crisis. Emotionally intelligent leadership creates space for honest conversations about workload and emotional strain before people reach breaking point. This includes modelling healthy boundaries and recognising that constant pressure without recovery is not sustainable. High standards should not come at personal cost to leaders or their teams.

How does emotional awareness influence patient communication, particularly around cost and expectations?

Anna: People don’t make decisions based on information alone. They decide when something feels relevant and aligned with their life. In conversations about cost or treatment, it’s not just about explaining the procedure, it’s about helping someone understand the outcome and how it will make them feel. Confidence, reassurance, pride and freedom are often the real drivers behind action.

Sarika: I agree. Difficult conversations are rarely about the clinical information alone. I strongly believe ethical communication must be grounded in transparency, informed consent and patient autonomy. Emotional awareness helps clinicians communicate with empathy rather than persuasion, so patients feel supported while making informed choices. As a result, conversations around cost, treatment options and expectations feel more collaborative and transparent, rather than confrontational or forced.

Finally, to offer readers a proactive way forwards, what ultimately differentiates emotionally intelligent practices from their competitors?

Anna: Emotional marketing doesn’t lead with the procedure. It leads with the outcome. It focuses on what someone will gain physically and emotionally: confidence, freedom, reassurance and pride. You are effectively selling a version of someone that doesn’t exist yet, and that’s where decisions are made. When people can visualise that future version of themselves and how it will feel, they are far more likely to act.

The power of this approach is that your values and purpose are communicated through the lens of the patient. People place far more belief in stories told by those like them than in messages pushed out by a practice. Marketing is about emotion. It’s about storytelling. That is what ultimately sets a practice apart.

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