Talkthru.me is a 24/7 AI + licensed therapist platform targeting the USA mental health market. When they came to us, they had five critical problems: zero conversion tracking (the "0-Event Problem" making ROAS measurement impossible), a sub-1% CTR on search snippets, high acquisition costs competing against generic "therapy" keywords, E-E-A-T trust barriers in the sensitive medical niche, and content that failed to resonate with American cultural nuances.
We built a 3-layer strategy: (1) Conversion infrastructure — set up proper Key Event tracking in GA4 and Google Ads so every app download and consultation booking was attributed. (2) AI SEO — identified 340+ niche "solution-specific" keywords like "CBT therapy app" and "online therapist for anxiety" that had buying intent but 10x lower CPC than generic terms. Built medically-vetted content clusters addressing specific user pain points. (3) USA market entry ads — launched Google App campaigns with tightly controlled audience signals, $0.08 CPC, and conversion-optimised creatives targeting users searching for immediate mental health support.
Talkthru went from near-zero organic visibility to 45.7K+ Google Ads clicks at $0.08 avg CPC. Organic search impressions grew to 16.9K+. Ranked #1 for branded keywords. Successfully entered the USA mental health market with $0.88 cost-per-conversion — a market where competitors spend $15–30 per click.
How We Did It
Conversion Infrastructure Setup
Implemented GA4 Key Event tracking, Google Ads conversion tags, and Firebase app event attribution — solving the "0-event problem" so every download and consultation was measured.
AI SEO & E-E-A-T Content Strategy
Built solution-specific keyword clusters targeting CBT, anxiety, therapy app, and online counseling queries. Created medically-reviewed content with licensed therapist citations — pushing impressions from near-zero to 16.9K+.
USA Market Performance Campaigns
Launched Google App and Search campaigns with hyper-targeted audience signals. Achieved $0.08 avg CPC and $0.88 cost-per-conversion — entering a market where competitors pay $15–30 per click.
