My Predictions for Therapist Web Marketing in 2011

I’ve been a webmaster since the term was coined (1996 @ Citizens Utilities in Stamford CT). I lived through the dot-com/dot-bomb era (ah, the mess that was ShopLocal.com), and doing PPC and SEO for therapists since 2005. The rate of change in 2010 in terms of search engines and overall web marketing, was astounding, and I expect that to continue in 2011.

Marketing for our particular business continues to be tricky, due to the ethical constraints of being a psychotherapist. We can’t (ethically) solicit for online reviews or testimonials from clients. We are even hamstrung in responding *to* poor reviews on Yelp, etc. (been there, and it hurts!). Heck, even having our office as a Facebook Place to be checked into is probably not something we should do. That said, here are some trends I see for 2011:


Google Stays #1, But Something Lurks in the Shadows: Google is still where to be at, folks. Some in the search engine community say the actual percentage of searches that goes on at Google is over 80%, not the 70% that is usually reported. The Bing/Yahoo combination hasn’t made much of a dent yet. Adwords continues to pour in money. (By the way, Adwords will continue to work for therapists, but get more and more expensive, complex and difficult – to me the ROI is really beginning to turn for SEO over Adwords in many cases). Google is taking on Yelp with its new HotPot offering. They pull off huge changes every month or so (Google Instant, the Local results integration that took place around Halloween, etc).

What Lurks in the Shadows is Facebook: Just imagine this – if instead of leaving Facebook to do your searches, you did them *from* your Facebook page. You’ve just entered Google’s worst nightmare. Of course, it wouldn’t be Google search. Likely Microsoft/Bing/Yahoo. This could be a game-changer. I’ve been wondering when Facebook would really change things for therapists (right now, Fan Pages, and FB ads are nice, but really not a big driver of therapy clients). This might be it. Watch Facebook in 2011, folks.

The Therapist Directory Wars Continue: For so long, PsychologyToday and AAMFT’s TherapistLocator.net had the directory business mainly to themselves. Not so anymore. Hungry upstarts have started eating their lunches. The most aggressive, and most impressive to me is GoodTherapy.org. They’ve rocketed to #2, and are much more innovative than PT, offering CEU’s, marketing webinars, media relations, audio and video, and lots more. I also see innovation in niche-related directories (for various communities or therapy approaches) which can provide good ROI. Directories continue to provide an easy, passive way of marketing your practice. They are not usually barn-burners as far as call volume, but usually more than pay for themselves.

Video – Get off the sidelines in 2011, folks! There are more and more inexpensive ways of creating videos (including some where it’s just your voice over images, like Jing, which I use extensively for Your Google Guy). Flip HD cameras can make some beautiful images. Just like headshots became more and more expected, video will be too. People will choose someone they get to see and get a feel of over a therapist who they only can measure by their written words.

Dynamic Website Technology Takes Over: More and more therapists will be moving their websites to platforms like WordPress and Joomla, or increasingly sophisticated templates on their ISPs. This both with be for practical reasons (the ability to update content without paying/waiting for a web designer) as well the very beautiful visual design aspects, and the ability to integrate social media (Facebook, Twitter, blogs, etc). If it’s time to update your site in 2011, I suggest looking at WordPress.

Reputation Mgmt/SMO: You’ll hear the acronym SMO a lot in 2011, it stands for “Social Media Optimization”. Pretty much SEO for Social Media. With review sites like Yelp and InsiderPages having a bigger influence, and with Twitter and Facebook the two dominant players in social media, it makes sense to pay attention to how other therapists in your markets are using these mediums. It also makes sense to check out what is being said about *you* - this is the idea of Reputation Management. Setting a Google Alerts to watch for your name is a good place to start.

Mobile: Smartphones are here to stay, folks (and iPads and other tablets). More and more people are doing more and more of their web-surfing from them. But at the same time, the browsers and screens are improving so much, that customizing a site for these devices is *not* something you need to be concerned with. So just do what you need to do for Local, and the carryover should be enough.

Local: I did a workshop here in Seattle a couple of months ago. One slide just said “LOCAL! LOCAL! LOCAL!” and for 2011 I’d just add a couple more exclamation points. The changes Google made in fall of 2010 (basically combining the map and non-map listings for searches they deem to be for local businesses) made it MUCH harder to rank in a city in which you do *not* have an office. This trend will continue in 2011.

Bing/Yahoo: See my Facebook comments. Otherwise, not much on my radar. I was initially excited by the combination, but have found running ads on their networks to be difficult and underwhelming. How do you beat Google? I just don't see it.

Twitter? OK, I Relent: So I have pooh-poohed Twitter for a long time. I still do from the standpoint of it being a place where your clients live – I still don’t believe that! But what is now obvious is that Twitter is weighing more and more heavily on SEO. If you write blog entries, or articles, or otherwise have news, you should be posting it on Twitter, for the search engines to find.

More Use of Paid SEO Consultants: 2010 was the year where I could see other SEO firms work showing up in the local search results for therapists (though many using tactics I think are unethical, like posting multiple fake reviews). I can only see this continuing and increasing in 2011. It’s a complex, ever-changing world out there on the Internet. I’ve always thought most therapists didn’t want to have to be marketing experts OR high-tech experts – they just want to do good therapy work with as many clients as they’d like. The smart and hungry will be hiring out – expect the rankings in your area to be very, very dynamic in 2011.

All the best, Peter

Yowza! Google Local Search Results Show Big Change!

Hi folks,

If you've Googled any local business in the last 3 days, you've seen a RADICALLY different results page on Google. This has all of us in the SEO & SEM (Search Engine Marketing) field in reaction mode, trying to figure out exactly how Google is figuring its new results, and what it means to our clients, both in terms of Organic rankings, as well as Google Adwords pay-per-click.

What I can tell you in the simplest terms is that Google has *combined* the old map results (known as the "7-pack" or "3-pack" depending on how dense an area you searched) with the organic search listings that were below the map.

This has a big impact on Adwords, too. Ads that are not in the top 3 results (showing in the lightly colored box on top), now get pushed down by the map, which is on the right side at the top of the screen now. Not only that, but the map stays in its place as you scroll down, blocking the view of ads on the right side of the screen. Google has, perhaps on purpose and in a not-very-nice way, made it so people will REALLY try to bid to be top 3 in the ads now.

I'll have more on this as my colleagues and I gauge the impacts on all of our efforts. In the meantime, fellow therapists, hold on to your hats!

Happy Halloween, Peter

Where? (Part 1 of "The 5 W's and 1 H")

When I was on my college newspaper, I learned about the basic questions to answer in a news story - the 5 W's (who, what, where, why, when) and 1 H (how). The same can be said of therapy websites. Let me elaborate with my favorite pet peeve W - Where.

Now, what's a difference between a therapist's site and, say, a website for a service like telephone coaching, or for a web designer? The answer is our customer-base is local. Therefore, our sites are for a local audience.

It amazes me that I can visit a counselor's homepage, and not know where in the US they are located. This is a problem on a couple of levels.

First, I believe potential clients quickly orient themselves on a site (or don't) - to ensure the website they are on is what they were looking for - that this is in fact the right service (counseling) in the right place (their city). People may keep going if you don't meet these standards, but they tend to be easily dissuaded while surfing the web.

Secondly, think of how people are searching for a local service. They tend to be entering a city name in their search - otherwise they get results for all over the country. If your site doesn't have your city or town listed, the search engines certainly won't show your site in the results for a local search.

Coming next - More W's.....