More booked intakes, at a cost you can predict and control.

You've won the hardest part — demand

Your content and clinical reputation make you the organic-search leader in your category — roughly 13,000 ranking keywords and an estimated ~207,000 organic visits a month, well ahead of comparable group practices. People who need therapy in your markets are already finding you.

The opportunity is in capture and conversion — making that earned demand measurable in paid search, and compounding it across three channels that convert for little or no media cost. This is a capture-and-convert plan, not a "spend more" plan.

A healthy foundation — already at the benchmark

Your own reporting gives us a confident basis for what "good" looks like. We build every budget and target on these numbers, not assumptions.

A 3:1 LTV:CAC ratio is the healthy industry benchmark — you're already there. So the job isn't to prove the model; it's to protect that efficiency while growing booked intakes and making every marketing dollar legible. Our targets: hold blended CAC at or below ~$630, trending toward ~$590, and grow intakes primarily by converting demand you already have.

A clear, accountable $30,000 / month

Today, nearly all paid spend flows through one automated Performance Max campaign. It has done real work, but two issues hold it back:

1. Its efficiency has declined for several months on flat spend — the signature of creative fatigue. It runs on a single set of ads while 16 additional ad sets you already built sit switched off.
2. It pays a premium for people already searching for CCG by name. Brand searches are valuable, but shouldn't cost the same as new-client demand.

Separately, your (now-paused) keyword Search historically spent ~$23,000 on terms that never produced a booked client. That's budget we redirect. Our approach: a disciplined $30K/month, split so every dollar maps to a measurable purpose.

Why this works

• Performance Max stays your largest investment (60%) — the only place driving Maps, re-engagement and broad reach — but now focused, refreshed and measurable instead of carrying everything alone.
• Search is organized by specialty, not just location — specialty is the strongest predictor of cost-effectiveness (your best category books clients ~12× more efficiently than your worst), so we invest in what works and stop spending on what doesn't.
• Brand searches are handled separately, so reporting finally shows the true cost of new demand.

Converting demand you've already earned

You hold a genuinely valuable asset — ~8,000 engaged subscribers opening at 40–50%, plus ~1,778 dormant contacts and a steady flow of inquiries — with no automated nurture running against any of it. This is the lowest-cost route to more intakes, because it converts interest you've already paid to earn. Your funnel today: cost per intake ~$585 (heading toward ~$400); inquiries convert at ~18.5%; consults close at ~50%. Each flow lifts one of those.

Privacy first. Your CRM stays the source of truth. We pass only non-clinical signals (journey stage + two scheduling indicators) one-way into Mailchimp — no diagnoses, notes, or clinical detail ever leave your CRM. Every email carries a CAN-SPAM footer and a named sender, uses no symptom language, and makes no outcome claims; SMS only to opted-in numbers via a BAA-covered provider.

Defend the lead, close the gaps

Your organic engine is your durable advantage, and the technical foundation is healthy — your homepage scores well on Google's own Lighthouse audit (Performance 90, Accessibility 94, Best Practices 96, SEO 92 on mobile). The plan protects that lead and removes the specific limits on it.

Own local search across every location

For a multi-location practice, Google Business Profile is the highest-leverage, lowest-cost channel — it's where many clients begin ("therapist near me," "DBT therapist Bethesda"), and it drives calls and bookings without media spend. Today you have 14 verified profiles, but active management covers only ~4–5 (Red Bank, Harrison and the Florida profiles are paused), and posting/reviews are minimal — while competitors in MD, NY, NJ and FL post and gather reviews weekly. You already invest in directories (Psychology Today, Zencare, NEDA); GBP is the missing piece that ties local visibility together.

1. Consolidate & extend management to all 14 locations — every location is an independent map-pack opportunity, and an unmanaged profile is a ceded position. Reactivate Red Bank, Harrison and Florida (Boca + Miami).
2. Complete every profile — hours, services, categories, photos, descriptions. Completeness is a prerequisite for ranking.
3. Publish consistently — a regular cadence of brand-compliant posts per location, rotating specialty spotlights, local relevance and education. Every post is human-approved before publishing. Pilot on 2 locations, then scale to all 14.
4. Build reviews — a privacy-compliant workflow (no clinical detail) so every completed engagement can become a review.
5. Seed Q&A — pre-answer the common intake questions (self-pay/out-of-network, modalities, locations, booking).

How the four channels reinforce each other

• GBP, SEO & AI search capture high-intent local demand for free, lowering how much paid has to buy.
• Paid Search bids on terms you already rank for organically, where your authority earns better positioning at lower cost.
• Lifecycle email converts the inquiries that every channel generates — at almost no added media cost — pulling blended cost-per-intake toward ~$400.
• The same structured-data work powers SEO, AI-search citation and Google Business — one effort, three channels.
• Handling brand searches separately means you finally see the true cost of new demand.

The first 90 days

A deliberate, staged rollout — changes sequenced so campaigns are never disrupted all at once, and the fastest, clearest wins come first.

Compliance & brand

• Self-pay / out-of-network framing throughout — transparent on cost, never implying insurance coverage.
• No outcome or "cure" guarantees — evidence-based, "designed to" language only; APA-ethics and Google/Meta health-policy compliant.
• No crisis or fear-based messaging — crisis searches routed to appropriate services (988), never positioned as CCG.
• HIPAA-first — no client or clinical information in any ad, audience, email trigger, analytics event or report; a business associate agreement with every vendor before anything goes live.
• Warm, credible, evidence-based voice — the tone your clients already trust, in every channel.