The Counseling Center Group
The full journey

Pre-click → click → post-click

Keywords tell us what people searched. This page follows them the rest of the way — the ad they saw, the page they landed on, and why the destination, more than the keyword, drives whether they convert.

The destination is the biggest lever

Every landing page bucketed by type. Localized state pages convert roughly 4× better than generic treatment pages and ~24× better than the virtual pages — the same clusters flagged as keyword “waste” (IFS, CBT, ART) are exactly the ones pointed at generic, non-localized pages.

Landing-page typeSpendConversionsCost / conv
Localized /locations/ & geo pages$59,804142.9$419
Generic /treatments/$23,39814.3$1,636
Other one-off slugs$1,7974.5$399
Virtual appointment pages$5,0510.5$10,102

Pre-click — the ad

Issues
  • One responsive search ad per ad group (40 of 40) — no ad testing. Heavy use of {LOCATION(City)} and {Keyword} dynamic insertion.
  • Copy message-match breaks: the CBT ads reuse EMDR/trauma headlines verbatim — “Stop Reliving The Past”, “PTSD Treatment”, “Somatic Therapy”, “Talk Without Falling Apart”. A CBT searcher sees trauma copy.
Working
  • Dynamic {LOCATION(City)} insertion personalizes headlines to the searcher’s city at scale.
  • EMDR ad copy is strong and on-message (“Healing at the root”, “Short-Term, Evidence-Based Trauma Care”).

Click → post-click — where each ad actually sends people

The ad group’s final URL is the destination. Flagged below: MISMATCH = ad in one state pointing to another state’s page; generic = no geo at all; virtual = dead-end directory page.

Ad groupCampaignRoutingLanding pageSpendConv
EMDR Trauma DCDC-Washington DCMISMATCH → DC/locations/washingtondc/emdr/$8,58728.0
EMDR Trauma MarylandMDMISMATCH → DC/locations/washingtondc/emdr/$8,58728.0
Gottman Couples Therapy MarylandMDMISMATCH → NJ/locations/new-jersey/gottman-method/$5,52512.5
Gottman Couples Therapy DCDC-Washington DCMISMATCH → NJ/locations/new-jersey/gottman-method/$5,52512.5
Virtual Therapy New YorkNYvirtual/virtual-appointment-new%20-york/$1,9950.0
Virtual Therapy New JerseyNJvirtual/virtual-appointment-new-jersey/$1,2790.0
Virtual Therapy VirginiaVAvirtual/virtual-appointment-virginia/$1,0400.5
Virtual Therapy DCDC-Washington DCvirtual/virtual-appointment-dc/$7360.0
CBT Therapy VirginiaVAgeneric/treatments/cognitive-behavior-therapy-cbt/$8,6663.5
CBT Therapy New JerseyNJgeneric/treatments/cognitive-behavior-therapy-cbt/$8,6663.5
CBT Therapy New YorkNYgeneric/treatments/cognitive-behavior-therapy-cbt/$8,6663.5
CBT Therapy DCDC-Washington DCgeneric/treatments/cognitive-behavior-therapy-cbt/$8,6663.5
CBT Therapy MarylandMDgeneric/treatments/cognitive-behavior-therapy-cbt/$8,6663.5
IFS Therapy New JerseyNJgeneric/treatments/internal-family-systems-ifs/$7,3427.9
IFS Therapy DCDC-Washington DCgeneric/treatments/internal-family-systems-ifs/$7,3427.9
IFS Therapy MarylandMDgeneric/treatments/internal-family-systems-ifs/$7,3427.9
IFS Therapy New YorkNYgeneric/treatments/internal-family-systems-ifs/$7,3427.9
IFS Therapy VirginiaVAgeneric/treatments/internal-family-systems-ifs/$7,3427.9
ART Therapy MarylandMDgeneric/treatments/accelerated-resolution-therapy-art/$1,8660.0
ART Therapy New JerseyNJgeneric/treatments/accelerated-resolution-therapy-art/$1,8660.0
ART Therapy New YorkNYgeneric/treatments/accelerated-resolution-therapy-art/$1,8660.0
ART Therapy DCDC-Washington DCgeneric/treatments/accelerated-resolution-therapy-art/$1,8660.0
ART Therapy VirginiaVAgeneric/treatments/accelerated-resolution-therapy-art/$1,8660.0
DBT Therapy DCDC-Washington DCgeneric/treatments/dbt-therapy/$1,3660.0
Virtual DBT Group Therapy New YorkNYgeneric/group-therapy/dbt-skills-groups/$9881.5
EMDR Trauma VirginiaVAmatch/locations/virginia/alexandria/emdr-alexandria/$6,30016.0
EMDR Trauma New YorkNYmatch/locations/new-york/emdr-therapy/$5,80118.5
Gottman Couples Therapy New JerseyNJmatch/locations/new-jersey/gottman-method/$5,52512.5
Gottman Couples Therapy VirginiaVAmatch/arlington/gottman-method-arlington-va/$4,9446.0
Virtual TherapistFLmatch/locations/florida/boca-raton-therapy/$4,0152.0
Gottman Couples Therapy New YorkNYmatch/couples-therapy-nyc/$3,6696.4
EMDRFLmatch/locations/florida/emdr-boca-raton/$3,2176.0
Family Therapy MarylandMDmatch/locations/maryland/family-therapy/$2,9208.0
DBT Therapy New JerseyNJmatch/locations/new-jersey/dialectical-behavior-therapy/$2,7627.0
Family Therapy New JerseyNJmatch/locations/new-jersey/family-therapy$2,2971.0
DBT Therapy New YorkNYmatch/locations/new-york/dbt-therapy/$1,9709.5
EMDR Trauma New JerseyNJmatch/locations/new-jersey/emdr/$1,9081.0
DBT Therapy VirginiaVAmatch/dbt-virginia/$1,6950.0
DBT Therapy MarylandMDmatch/locations/maryland/dbt/$1,3564.0
Virtual Therapy MarylandMDmatch/locations/maryland/dbt/$1,3564.0

Landing pages, inspected

Pages rendered with Firecrawl (the site blocks plain requests). Representative destinations across the performance range.

/locations/new-york/emdr-therapy/

WORKS · $5,801 · 18.5 conv

H1 “EMDR Therapy in NYC”. Geo-specific, on-page booking form, focused landing page. The template that works.

/treatments/cognitive-behavior-therapy-cbt/

BROKEN · ~$8K across 5 states · ~3.5 conv

H1 just “Cognitive Behavior Therapy (CBT)”. Generic, no geo — all five states’ CBT ads dump here. Has a form, but zero message-match to the state campaigns.

/virtual-appointment-new%20-york/

BROKEN · $1,995 · 396 clicks · 0 conv

Resolves to a “Browse Our Therapists – Virtual Only” directory page, not an intake LP. URL is also malformed (encoded space “new%20-york”).

/arlington/gottman-method-arlington-va/

FRICTION · $4,944 · 351 clicks · 6 conv (1.7%)

Geo-specific but a service page with NO on-page form — just a “Book an Appointment” link. Friction vs the form-bearing winners.

/locations/arlington/gottman-method-arlington-va/

FRICTION · $1,008 · 98 clicks · 15 conv (15%)

The best-converting Gottman destination historically — now returns 404. Duplicate/competing URL for the same service; needs to be restored or 301-redirected.

The through-line: the account’s bottleneck is the post-click experience — localization and on-page conversion design — more than the keywords. Point each ad group at a localized page (per modality × state) with an on-page booking form, fix the four geo-mismatches and the dead virtual pages, and a large share of today’s “wasted” keyword spend should convert.