Most agencies treat your Ohio therapy practice like a plumbing business, wasting your budget on "cheap" clicks that never call.

If you’re tired of the agency "black box" and want the actual math—and the keys to your own campaign—read this. We’re breaking down Ohio-specific costs, HIPAA-safe tracking, and why you should never pay a forever-retainer again if you are a therapist running Google Ads.

One of the biggest friction points when hiring a Google Ads consultant is the 'Black Box.' You often don’t know what the engagement looks like until you’ve already signed a contract. I believe in radical transparency—from day one. Here is a behind-the-scenes look at my 'anti-sales' workflow designed to save you time and get straight to the ROI.

Google's AI has automated the tactical search job, creating a massive "Strategy Gap" in the consulting world. Most companies spending under $30k/month are stuck between tactical optimization (which the AI does better) and deep, media-agnostic strategy (which they can't afford). This piece defines why true strategy is about cross-channel budget allocation, not bid management, and articulates the unique value of the modern consultant who can build comprehensive, cross-channel growth architecture that integrates with full business goals. If you've hit the tactical ceiling, the button-pusher's job is gone—it's time for strategy.

Everyone feels the pressure to "fix it now" when they see a keyword with high spend and zero conversions. But I'll be direct: that urge is the single biggest destroyer of profitability in premium paid search accounts, whether you're selling software or generating qualified B2B leads.

Making a decision to pause or change a keyword after just 20 or 30 clicks is an act of emotion, not optimization. You're actively sabotaging the machine learning algorithm you paid Google to run. The solution is the Rule of 100 Clicks—a non-negotiable threshold that forces you to wait for actual, significant data.

You have to trust the process.

The most expensive mistake in 2025 is paying premium Search prices for top-of-funnel browsers. I call this the "Cost-Intent Mismatch." If you feel like your CPAs are climbing for no reason, you might be paying steak dinner prices for a window shopper who just wanted a water. Here is how to audit your architecture and align cost with intent.