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Therapy & Mental Health

Marketing for therapists that fills first appointments

A therapy practice does not benefit from more enquiries in general. It benefits from enquiries that match your specialty, your modality and the way you take payment. Everything else is time spent on referrals out, and that time is not free.

14+Years Experience
5+Years in Healthcare
1:1Direct Access
At a glance

The facts, before the copy

What it is
Marketing for therapists (Google Ads)
Delivered by
Diego Zietek, independent consultant (no agency team)
Platforms
Google Ads
Who it is for
Private and group therapy practices with an intake process
Markets served
United States, Canada, United Kingdom, Ireland, Portugal, remote, in English
Pricing
Fixed-price audit or month-to-month retainer, quoted on the first call. How pricing works
Proof
Houston HVAC and plumbing case, Paid Media Cost Index
Contact
Send a message or schedule a call
Last updated
The Problem

Where therapy accounts go wrong

This vertical punishes generic advertising more than most.

Bidding on general terms

The broad therapy searches are expensive, crowded with directories and marketplaces, and produce enquiries you will refer elsewhere. The specific ones cost less and reach people looking for exactly what you offer.

Payment arrangement is invisible to the account

Whether an enquiry can actually work with your fee structure or panel status is the single biggest determinant of whether it becomes a client, and a default setup has no idea.

Remarketing is set up the way it is set up everywhere else

Mental health is a sensitive category. Standard remarketing built off page visits is both restricted and inappropriate here, and accounts that ignore that are taking a risk for very little return.

The first response is slower than the decision window

Someone who reaches out for therapy is often at a specific moment. An enquiry answered two days later frequently finds that the moment has passed, and no amount of bidding fixes that.

What You Get

What a therapy engagement includes

Narrow, specific and built to protect both the caseload and the client.

Specialty-led campaign structure

Campaigns built around the presentations, modalities and populations you actually work with, rather than the general terms everyone bids on.

Fit qualification before the enquiry

Ad copy and landing pages that state fee structure, availability and scope clearly enough that the people who cannot work with you self-select out before you spend time on them.

Privacy-aware tracking

Conversion measurement that passes the outcome without passing the reason, using server-side events and offline import, so the platform can optimise without receiving anything sensitive.

Response-time design

Enquiry paths built around how quickly you can genuinely respond, because in this vertical response speed converts better than almost anything you can change in the ad.

Campaign landing pages

Pages that answer the specific search, establish credentials and make one clear action available. Fixed scope, tied to the campaigns.

Reporting on fit, not just volume

Enquiries, enquiries you could take on, and first sessions booked, kept as three separate numbers.

If you work across several presentations, expect a small number of tightly-drawn campaigns rather than one broad one. That structure is the whole point here.

Proof

Where the healthcare experience comes from

I would rather describe real work honestly than invent a case study with invented numbers. Some engagements have figures I can publish. My healthcare experience comes from an employed role, so nothing from it appears here at all, which is a deliberate choice rather than false modesty.

Healthcare, in-house

Five years in the sector

Alongside consulting I hold a senior in-house paid media role in healthcare. Nothing from that work is published anywhere on this site: no employer named, no budgets, no results, no internal detail. It is listed only because it is where a large part of my healthcare experience comes from.

HVAC and plumbing company, Houston, TX

Freelance · May 2025 to Feb 2026
44%CPA Reduction
60%More Qualified Leads

Different industry, included because the numbers are public and verifiable. Roughly $20K per month in Google Ads spend, in a market with $45 to $80 CPCs.

How It Works

How it runs

1

Audit

I go through the account, the tracking and the patient journey and tell you what is actually broken. You get the findings whether or not we work together.

2

Fix the foundation

Tracking, conversion actions and structure get corrected first. Optimising on top of bad data just makes you confidently wrong.

3

Build and launch

Campaigns, ad copy, audiences and landing pages built around how patients actually search, and around what your compliance rules allow.

4

Iterate

Weekly optimisation against booked appointments rather than form fills, with a monthly written read on what moved and what is next.

Go Deeper

Related guides

Long-form writing on this topic from the blog.

Who It Is For

Who this service fits

Private and group practices with an intake process and a waitlist strategy.

  • Therapists who accept the ethical limits on advertising and want compliant campaigns.
  • Practices in one region that need a steady flow of first appointments.

Not a fit: Therapists who want to run ads themselves on a small budget: the guides on this site cover that, this service does not.

FAQ

Therapy practice questions

Is it allowed to advertise therapy on Google?

Yes, with care. Mental health sits in a sensitive category, which means personalised advertising based on inferred condition is off limits, and some targeting and remarketing options are restricted or unavailable. Search intent advertising is largely unaffected, which is fortunate, because that is where most of the demand is anyway.

My practice is full. Why would I advertise?

Usually to change the mix rather than the volume: more of the presentations you specialise in, more of the payment arrangements that work for you, fewer enquiries you have to refer out. A full practice with the wrong mix is a real problem, and it is a targeting problem rather than a budget one.

How do you track conversions without collecting sensitive information?

By passing the outcome and not the reason. The ad platform needs to know that an enquiry became a booked first session; it does not need to know which page the person read before enquiring. That separation is a tracking design decision, and it is entirely achievable with server-side events and offline import.

Should I advertise a specialty or general therapy?

Specialty, almost always. General terms are expensive, competitive and attract enquiries you will refer elsewhere. Specific presentations, modalities and populations cost less, convert better and reach people who are looking for exactly what you do.

Get In Touch

Tell me what you are working with

A short form beats a long discovery call. Give me the basics and I will come back with a straight read on whether I can help, usually within one business day.

  • No sales sequence. You get a reply from me, not a nurture flow.
  • If I am not the right fit, I will say so and point you somewhere better.
  • Prefer to talk live? Book a slot instead, link below.

Rather book a time directly? Schedule a call.

I read every message myself. No newsletter, no list, no follow-up sequence.