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.
| Metric | Before | After | Change |
|---|---|---|---|
| Conversion tracking | 0 events recorded | GA4 + Google Ads + Firebase | Fixed |
| Google Ads clicks | — | 45.7K+ | New US campaigns |
| Average CPC | — | $0.08 | — |
| Cost per conversion | — | $0.88 | — |
| Organic search impressions | Near zero | 16.9K+ | — |
| Organic clicks | — | — | +737% |
Source: Google Ads, GA4 + Firebase & Search Console
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.
Key Takeaways
- Fix measurement before scaling spend. Until GA4, Google Ads and Firebase events were connected, ROAS could not be measured at all.
- Solution-specific keywords such as "CBT therapy app" and "online therapist for anxiety" carried buying intent at a much lower CPC than generic "therapy" terms.
- In a sensitive medical niche, medically reviewed content with licensed-therapist citations built the trust needed to rank.
Frequently Asked Questions
How did Talkthru.me enter the US market on a small budget?
With Google App and Search campaigns built on 340+ solution-specific keywords and tight audience signals: 45.7K+ clicks at a $0.08 average CPC and $0.88 per conversion.
What was the '0-event problem'?
App downloads and consultation bookings were not being recorded as conversions, so ad performance could not be measured. We set up GA4 key events, Google Ads conversion tags and Firebase attribution to fix it.
How long was the engagement?
8 months, covering tracking setup, SEO content and US performance campaigns.
