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A US mental health clinic wanted more patient inquiries and appointment bookings. We managed its Google Ads campaign from February 2023 to June 2025, using behavioral keyword targeting and geo-optimized campaigns. Over that period it delivered 5.28K conversions at $3.85 each.
The project
A mental health clinic in the United States wanted more patient inquiries and appointment bookings from Google Ads, at a cost that made each new client worthwhile.
We managed a Google Ads campaign built on behavioral keyword targeting, matching ads to the services people search for, and geo-optimized campaigns focused on the areas the clinic serves, designed to scale lead generation.
From February 2023 to June 2025, the account turned 31.8K quality clicks into 5.28K conversions at $3.85 each, on $20.3K of total spend, with a 13.7× return on ad spend. On average that is about $700 of ad spend and 182 conversions a month.
Kept private: the clinic's name, location and ad copy, to protect the practice and its clients. Ask us on a call about the setup in more detail.
Results · Feb 2023 to Jun 2025
Figures as reported from the clinic's Google Ads account. Conversions are the actions the account was set up to count.
Return on ad spend
Recorded conversion value divided by ad spend.
Inquiries and bookings
Counted by the account's conversion tracking.
Cost per conversion
Average across the full period.
Quality clicks
On $20.3K of total ad spend.
| Metric | This account | Mental health median* |
|---|---|---|
| Cost per conversion | $3.85 | $141.17 |
| Cost per click | $0.64 | $4.22 |
| Clicks that converted | 16.6% | 1.85% |
| Ad spend per month | $700 | Not reported |
This account's rates are approximate because the published figures are rounded. *Medians for mental health search campaigns in LocaliQ's healthcare benchmarks (US, Oct 2024 to Sep 2025), which measure cost per lead. This account covers Feb 2023 to Jun 2025 and counts its own conversion actions, so read the comparison as context, not like for like. Source: LocaliQ
Reading the 13.7× figure. Return on ad spend divides the conversion value recorded in the account by ad spend: 13.7 × $20.3K is about $278K of recorded value. That depends on the value set for each conversion, so for your practice we'd base it on booked first sessions and your real session fees.
How we ran it
Here is what each part of this account's setup does, and how mental health marketing changes the way it works.
Want this for your practice?
For your practice
Return on ad spend depends on what a new client is worth to you. Put in your own numbers to see what you could afford to pay for each enquiry.
Return on ad spend
3.7× estimated
You break even on ad spend while each enquiry costs less than $294. For reference, this clinic's conversions averaged $3.85 each over 29 months; your cost depends on your market and services.
Revenue counts session fees over each new client's course of care. It leaves out clinician time and other costs, and only works if your team has room for the new clients.
Add these numbers to my proposalA mental health clinic in the United States. We don't name healthcare clients without their written permission, so this page describes the type of practice, the goal and the results instead.
Conversions are the actions the clinic's Google Ads account was set up to count. For your practice, we agree which actions count before launch, such as calls, appointment requests and contact forms, and keep condition details out of what's sent to Google.
Return on ad spend divides the conversion value recorded in the account by the ad spend. It depends on the value set for each conversion, so for your practice we'd base those values on booked first sessions and your real session fees.
Yes, within Google's policies. Health is a sensitive category, so ads can't use remarketing lists, Customer Match or lookalike segments, and we rely on search intent and location instead. Drug and alcohol addiction treatment ads need certification before they can run.
Yes. We keep diagnoses and conditions out of page URLs, form fields and conversion names, and keep ad tags off intake forms. Google only receives that a request or call happened, not who made it or why.
Yes. Online-session ads run only in the states where your clinicians are licensed, and in-person services target a realistic travel distance from your offices.
It depends on your market, services and how many new clients your clinicians can take. This clinic's spend averaged about $700 a month over the period shown. We recommend a budget that matches your open caseload, so you don't pay for enquiries you can't book.
Yes. We work in your own Google Ads account or create one in your practice's name, so the campaigns and their history stay with you.
Contact us
Send a few details about your business and what you need. We reply with a clear next step: a consultation, a written proposal or a free marketing audit.
We review your website first, then reply with the services and scope that fit.
Insights
Practical advice on filling caseloads, advertising within Google's health rules and measuring what a new client is worth.
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