“Most people prefer the certainty of misery to the misery of uncertainty.”
— Virginia Satir
This is one of my favorite quotes. I use it to check myself regularly! At first glance, this quote can feel heavy. But for dental practice teams, it’s also incredibly freeing, because it explains why so many practices stay stuck, and more importantly, how they can move forward.
In dentistry, the “certainty of misery” often doesn’t look dramatic. It’s subtle. It shows up as daily frustrations, unspoken resentment, inefficient systems, and the quiet belief that “this is just how it is.”
In dental offices, certainty often looks like:
These situations are uncomfortable, but familiar. And familiarity feels safer than change.
Dentistry thrives on precision, predictability, and control. So when uncertainty shows up (new systems, new expectations, new accountability), it can feel threatening.
Common fears sound like:
So instead of stepping into uncertainty, many teams stay exactly where they are—overworked, under-communicating, and underperforming.
Satir reminds us that real misery is often quiet. In dental practices, that subtle misery looks like:
Nothing is “bad enough” to force change, but nothing is good enough to feel fulfilling. That’s the danger!
Satir believed that people already have the resources they need to grow. They just need the environment, structure, and self-worth to access them.
For dental teams, that means:
When one part of the system changes, everything changes — exactly as Satir described in her systemic approach.
Ironically, avoiding change creates more instability over time: turnover, burnout, rework, and frustration.
True stability in a dental practice doesn’t come from avoiding uncertainty, it comes from:
When teams know what’s expected and feel supported, uncertainty turns into clarity.
Instead of asking: “What if this change doesn’t work?” Try asking: “What is it costing us to stay exactly the same?”
Because the certainty of misery may feel safe, but it quietly robs teams of fulfillment, confidence, and growth.
Dental practices don’t fail because they lack talent. They struggle because they tolerate systems that no longer serve them.
Growth always comes with uncertainty, but it also brings:
And most importantly, it replaces quiet misery with intentional progress.
Change isn’t the risk. Staying stuck is.