Google Ads for therapy practices

Fill your clinicians' caseloads with clients who actually book.

We run Google Ads campaigns built specifically for therapy practices. Compliant tracking. Real pipeline math. No wasted budget on people who never call back.

See if your practice qualifies → Run your numbers first
Built with
Google Ads Google Ads
Google Tag Manager GTM
Google Analytics GA4
HIPAA-conscious
Ontario group practice - 30-day snapshot
Monthly ad spend $3,400
Inquiries generated 91
Cost per inquiry $37
Conversion rate 13%
Management fee $1,500/mo
Anonymized. Source: active account managed by TheraPPC. Results vary by market, specialty, and ad spend.
Across active accounts we manage
0
Average cost per qualified inquiry
Median across active accounts
0%
Avg visitor-to-inquiry conversion rate
vs. industry average of 3-5%
0
Inquiries in a single 30-day period
Group practice, $3,400 spend
0
Days to first trackable inquiry
Typical new account launch window
The landscape changed

The Psychology Today era is ending for independent practices.

For years, a $29.95/month profile was the default marketing plan for private practices. That era is ending. VC-funded platforms - Grow Therapy, Rula, Alma, Headway - are flooding the directory with managed profiles and burying independent therapists in results they used to own.

Google Ads changes the dynamic entirely. When someone searches "therapist near me," you appear because they chose to look for you - not because an algorithm decided you were less important than a platform's managed listing.

What we see in audits

Most practices that come to us have tried paid ads before and burned budget. The issue isn't the channel - it's that general digital agencies don't understand therapy buyer psychology, compliance constraints, or how to track conversions without touching PHI.

"Search ads appear only when someone is already looking for help. You're not interrupting - you're answering."
TheraPPC position on therapy advertising ethics
What this means for you
→ Your name appears when someone is already deciding to seek help
→ Budget goes to people searching for your specific specialty, in your geography
→ You compete against local practices, not a VC-funded platform with unlimited shelf space
The numbers first

We show you the math before you spend a dollar.

No agency should ask you to commit budget before you can see what it might produce. This is a real projection table we run for every prospect - conservative, moderate, and optimistic scenarios based on your actual ad spend and market.

If the numbers don't work at your budget, we'll tell you that on the call. We've turned down practices where the math didn't justify the spend.

Run your own projections →
$750/mo spend
Conservative
Moderate
Optimistic
Inquiries/mo
9
11
13
Clients started
6
8
10
Monthly revenue
$5,600
$7,800
$9,400
Total investment
$2,250
$2,250
$2,250
ROI multiple
2.5x
3.5x
4.2x
Based on $3,000 avg client LTV, 90% discussion rate, 70% close rate. Assumes $12 avg CPC.
From first call to live campaigns

What working together actually looks like.

No long ramp-up. No guessing. Four phases from intake to scale, each with a clear deliverable and timeline.

1
Week 1-2
Build
Tracking infrastructure, campaign architecture, landing page review. Pipeline math confirmed before first dollar of ad spend.
2
Week 3-4
Launch
Campaigns live. Daily monitoring through the early burn-in period. First inquiry data starts arriving within days.
3
Month 2-3
Consolidate
Waste eliminated, budget reallocated to top converters. Weekly reporting. Conversion rate moves toward the 10% floor we hold ourselves to.
4
Month 4+
Scale
Budget expanded as pipeline confirms capacity. Recruiting campaigns launched if you're hiring. Multi-location expansion if relevant.
HIPAA-conscious tracking

We've seen practices turn off all analytics after a compliance scan flagged risks.

That didn't need to happen. The problem isn't the analytics - it's that most agencies set up tracking without thinking about what data passes through the tag. Here's exactly what ours captures and what it never touches.

What we track
  • ✓Form submitted (event only)
  • ✓Phone call connected
  • ✓Device type and source
  • ✓Which page converted
What we never touch
  • ×Who submitted the form
  • ×What they wrote in it
  • ×Any identifying information
  • ×Anything that could be PHI
GTM
Google Tag Manager
All tracking runs through GTM. No direct code on your site. Single point of audit and control.
GA4
Google Analytics 4
Event-based. We configure data retention, IP anonymization, and signal controls from day one.
Google Ads
Google Ads Conversion
Conversion tracking fires on event, not on form data. We never pass form field contents to the tag.
Curve Compatibility
Our infrastructure is designed to coexist with Curve Compliance and similar frameworks your practice uses.
If you work with a compliance officer, we're happy to walk them through our tag architecture before we set anything up.
Where you are right now

We work with practices at every growth stage.

Each stage needs a different strategy, different budget structure, different campaign architecture. We've worked through solo launches, first hires, small-group expansions, and multi-location builds.

01
Solo Practice
Building your caseload or thinking about your first hire. Budget is tight. We start where you are: $500-$1,000/mo in spend, conservative targeting, pipeline math that proves ROI before you commit.
02
First Hire
Filling a new clinician's caseload while maintaining yours. We build separate campaign structures per therapist and move budget where the open slots are.
03
Small Group (3-7)
Managing multiple specialties and caseloads. Separate campaigns per specialty and clinician, budget allocation tied to your actual availability, not a blanket spend plan.
04
Established Group (8+)
Scaling operations, hiring regularly, launching satellite locations. Recruiting ads alongside client acquisition. We coordinate with your SEO team on every change.
No manufactured testimonials

Actual performance data from actual accounts.

See full case studies →
OG
Group practice • Ontario
$3,400/mo spend. 91 inquiries. 30 days.
Bidding on cost per inquiry, not cost per click. Campaign architecture built around their 4 specialties with separate ad groups per presenting issue.
$37
Cost per inquiry
13%
Conversion rate
ST
Solo therapist • First hire
$750/mo spend. 14 new clients/mo projected.
Solo practice preparing for first hire. Pipeline math confirmed before launch: $3,000 LTV per client at 90% discussion rate and 80% close rate.
$3k
Avg client LTV
80%
Close rate
PS
Psychiatric practice • Forensic specialty
Rebuilt after compliance shutdown. Live in 21 days.
Prior agency had set up tracking that touched PHI. We rebuilt the entire infrastructure from scratch - compliant, auditable, and back in market in three weeks.
21
Days to relaunch
0
Compliance flags
Is this the right fit?

Five questions. No sales pressure.

This isn't a filter to keep you out. It's a quick way to tell whether paid search is likely to work for your practice before you spend any time on a call. Answer honestly - we'd rather tell you now if the math won't work.

My practice has an active website with a contact form or phone number.
I have at least one open appointment slot I'm actively trying to fill.
I can commit $500+ per month in ad spend (separate from management fees).
I can respond to new inquiries within 24 hours - speed to contact matters for conversion.
I want to own my own ad accounts and data, not hand them over to an agency platform.
Your practice likely qualifies.

Based on your answers, paid search should work for your practice. Book a strategy call and we'll run your real numbers before any commitment.

You may need a few things in place first.

Paid search works best when the fundamentals are ready. Book a call anyway - we can tell you what to fix and when to come back.

Two ways to work with us

One flat management fee. No percentage of spend games.

We charge a flat monthly fee regardless of how much you spend in ads. No hidden markups, no percentage-of-spend commissions, no surprise billing.

Core
Core Management
Solo practices and small groups getting started
$1,500 /month
or $833/mo billed $10,000 annually
  • Full campaign build, tracking setup, launch
  • Weekly performance reports
  • Monthly strategy call
  • All accounts under your ownership from day one
  • Compliant conversion tracking infrastructure
Start with Core →
Premium Annual
Premium Management
Group practices and multi-specialty campaigns
Custom
Scoped to your practice size and channel mix
  • Everything in Core
  • Multi-specialty and multi-clinician campaigns
  • Recruiting campaign management
  • Multi-location budget allocation
  • Priority access and bi-weekly calls
Talk about Premium →
See full pricing details and what's included →
Book a strategy call

We'll run your real numbers on the call.

If the math works, we'll show you exactly what we'd build. If it doesn't, we'll tell you why and what to change first.

30-minute strategy call, not a sales pitch
Live pipeline math using your real numbers
Campaign forensic if you have an existing account
Honest answer on whether the numbers work at your budget
No commitment required - informed consent before any next step

We received your inquiry.

Expect an email within one business day to schedule your strategy call.