Agency insights
Thoughts and lessons on client selection, burnout, pricing, and modernising legacy accounts, from someone who's run a Google Ads for years.
Published October 2026. Last updated October 2026.
A psychologist in the EU wanted to know which Google Ads clicks turned into patients, and then send that information to Google to improve their results.
The issue: Healthcare + EU = limited conversion tracking.
It's not just an EU quirk. Lots of places have privacy laws, and Google limits what you can do with patient information.
I realised they'd conflated two separate problems:
The good news is that you can solve problem 1 without infringing on patient privacy. And you can make your ads better even if you can't give Google feedback.
Here's how I'd do it.
Imagine the psychologist spends €2,000 on Google Ads this month.
This information is gold.
Neither calculation infringes on patient confidentiality.
To do this they need to know which patients came from Google Ads. That's a piece of cake: send Google Ads traffic to separate landing pages instead of the main website.
After that it's just a case of keeping track of leads from Google in the CRM or booking system so you can work out the value later.
Most Google searches are something like "psychologist near me".
How many people type...
psychologist who accepts insurance for diagnosing ADHD in children and offers video consultations outside working hours
If you're the kind of psychologist who:
you can't help this person.
Would you want to pay Google for them to click on your ad?
Our psychologist will get better results if they write ads that repel people they can't help. I've written more on this here: Write Google Ads that don’t get clicked or if you prefer video: https://youtu.be/78zVIM_Zylc
Send me any questions you have about making Google Ads more profitable. I'll do my best to answer.
And if the way I think resonates with you, I'd like to give you a free copy of my book Profitable Google Ads.
Before you spend more to train Google Ads, find out why the wrong people are clicking.
Calls from ad assets, calls from landing page and calls from LSAs often produce different quality leads.
These days optimising Google Ads for raw leads - someone filling in a form or calling - eventually fills your inbox with the kind of leads nobody wants. Spam, wrong numbers and so on. Most agencies know this by now. They also know the solution: upload qualified leads as offline conversions. The real problem is getting clients to tell us which leads are qualified.
I helped with two struggling Google Ads accounts. The problems had different symptoms, but the root cause was the same.
If you don't know exactly why a lead is unqualified, you risk fixing the wrong problem.
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