Both approaches work. The choice depends on your time, technical comfort, and willingness to stay current with search algorithm changes.
DIY SEO works if: You have 5-10 hours per week available, you're comfortable with basic website and technical setup, you're willing to learn continuously, and you're serving a less competitive market. Many solo practitioners successfully manage their own local SEO — especially Google Business Profile, reviews, and local citations. The downside: SEO is always changing, and mistakes (like incorrect local data or weak content) can delay results.
Hiring an agency or specialist makes sense if: You lack time or technical comfort, you're in a highly competitive market, or you want accountability and faster results. A specialized agency brings process, benchmarking, and ongoing optimization. The cost is higher ($1,500–$2,500+ per month) but removes the learning curve and manual work from your plate.
A hybrid approach is common: practices handle their own review management and Google Business Profile updates (high-impact, low-technical-barrier work) while outsourcing website optimization and content strategy to a specialist.
Read our Hiring an SEO Agency for Your Psychology Practice guide for evaluation criteria, contract red flags, and what to look for in a healthcare-focused agency.