The Entrepreneurial Therapist Podcast

EP 219: Google Ads for Therapists with Christi Underwood (Part 1)


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If you've ever wondered whether Google Ads are the missing piece in growing your private practice, this episode might completely change how you think about them. In this conversation, I sit down with Christi Underwood to break down what therapists actually need in place before spending a single dollar on ads and why jumping in too early can end up costing you more than it helps. We unpack the foundational pieces most people skip, from your online presence to your lead management systems, and why these elements make or break your results.

We also get into the real numbers and expectations behind Google Ads so you can make smart, informed decisions for your practice. Christi shares what a realistic starting budget looks like, how long it takes to know if your ads are working, and the biggest mistakes therapists make when trying to DIY their campaigns. Whether you are brand new to ads or already experimenting with them, this episode will help you think more strategically about when, why, and how to use Google Ads to actually fill your caseload.

Topics Covered in This Episode:

  • 2:15 - What most therapists misunderstand about starting Google Ads

  • 5:40 - The non-negotiables you need before running ads

  • 9:10 - A realistic starting budget and what your money is actually doing

  • 13:25 - How quickly you can tell if your ads are working

  • 16:50 - The difference between clicks, leads, and real clients

  • 19:30 - When ads work best (and when they don't) depending on your niche

  • 22:10 - Why solo practitioners might benefit more than group practices

  • 24:00 - The hidden systems that determine whether your leads convert

If you've been on the fence about Google Ads or unsure whether you're truly ready to invest in them, this episode will give you the clarity you need to move forward with confidence. Tune in, take notes, and start thinking about how to build a marketing strategy that actually supports the growth of your practice instead of draining your time and money. And if this episode resonates, be sure to subscribe and share it with another therapist who's ready to grow.

Resources Mentioned:

Find out more about Alma here: helloalma.com/danielle

Take 50% off your first 3 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle

Fill Up Therapists: $0-$60k

If you are needing more private pay clients in your practice in 2026, the Practice Accelerator is the perfect fit for you. Use the code ALLIN as a podcast listener to get $100 off at checkout.

Scale Up Therapists: $60-$200k+

Group practice owners, content creators and therapists scaling beyond 1-1.

Apply here for the next round of Scale Up Mastermind where I help therapists create additional revenue streams and scale to multi six and seven figures.

Christi's Website: clevercatalystllc.com

Connect with Christi on IG @theclevercatalyst

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The Entrepreneurial Therapist PodcastBy Danielle Swimm

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