Most SEO advice for local businesses says the same things: get lots of reviews, reply to every one, add tracking to every page. Some of that advice is wrong for a therapy practice. Ethics codes restrict asking clients for testimonials, replying to a review can confirm that someone is a client, and the people visiting your site are often in a vulnerable moment. This guide covers SEO for therapists in a way that respects all of that, and still gets the practice found by the clients it is trained to help.
The example throughout is Cedar Path Counseling, a fictional group practice in Portland, Oregon: an owner who is a licensed professional counselor, two associate clinicians, an office in the Hawthorne area, and telehealth for clients in Oregon and Washington.
What clients actually search
Therapy searches are more specific than most people expect. Someone rarely types only “therapist”. They type the problem, the type of therapy, the person they want or the practical filter that matters to them.
- The issue: “anxiety therapist portland”, “grief counseling near me”, “therapist for postpartum depression”
- The approach: “emdr therapy portland”, “dbt for teens”, “gottman couples therapy”
- The person: “lgbtq affirming therapist”, “black therapist portland”, “spanish speaking therapist”
- The practical filter: “therapist that takes regence”, “sliding scale therapy portland”, “online therapist oregon”, “therapist evening appointments”
Directories such as Psychology Today, Headway and Zencare rank for the broad versions of these searches in most cities. Your own website wins the specific versions, your clinicians’ names and the questions people ask before they reach out. That is where this guide focuses.
The pages a therapy practice needs
1. One page per issue you specialize in
Write a page for each issue the practice works with often and well, not a list of forty. For Cedar Path that meant anxiety, trauma and PTSD, couples, perinatal mental health and teens. Each page should describe what clients often experience, how therapy with you approaches it, who on the team works with it, what the first session looks like and how to reach out. Write in the warm, plain voice you use with clients.
2. One page per approach you are trained in
EMDR, CBT, DBT, Gottman Method, IFS and similar terms are searched by people who already know what they want. Explain the approach simply, who is trained in it on your team and what sessions look like. Be accurate about training levels: “trained in” and “certified in” mean different things.
3. Fees, insurance and the good faith estimate
List your fees, any sliding scale, the insurance panels you are on and how out-of-network reimbursement works. If you see self-pay or uninsured clients, the No Surprises Act requires you to provide a good faith estimate of expected charges; put the required notice on this page. Clear fees answer one of the most common questions people are too nervous to ask.
4. Telehealth, by state
You can generally only provide therapy to clients located in states where you are licensed, though some professions have interstate compacts. For Cedar Path, that means one page for telehealth in Oregon and one for Washington, each explaining how sessions work and which clinicians are licensed there. Do not build pages for states where nobody on the team holds a license.
5. Clinician pages
Each clinician needs a page with a natural photo, license type and state license numbers, training, the issues they focus on and a few sentences in their own voice. In a field where reviews are limited, these pages do most of the trust work. They also give search engines the experience and credential signals they look for on health topics (E-E-A-T).
6. A “starting therapy” page
What happens when someone fills out the contact form, how the first call works, how long until a first session, and what the first session is like. Many people put off therapy because the process feels unknown. This page often converts better than the home page.
7. Crisis information on every page
A short note in the footer that the practice is not an emergency service, with 988 (the Suicide and Crisis Lifeline in the US) and 911 for emergencies. It is responsible, it is expected, and it belongs on every page.
Write every specialty page so that someone reading it at 2 a.m. feels understood and knows exactly what to do next. That standard does more for rankings and inquiries than any keyword target.
Google Business Profile for a therapy practice
A Google Business Profile is worth having if you see clients in person. A few rules matter more for therapists than for most businesses.
- Telehealth-only practices are not eligible. Google’s guidelines require in-person contact with customers during stated hours. An online-only practice should rely on its website and directories instead.
- Shared and sublet offices are fine if you see clients there during the posted hours. A virtual office or mailbox is not.
- Home offices: if you see clients at home, think hard about privacy before listing that address publicly.
- Categories: choose the one that matches your license and work, such as Psychotherapist, Counselor or Marriage counselor. Use Psychologist only if a licensed psychologist practices there.
- Practitioner profiles: each clinician can have one, which helps with name searches. Keep them consistent with the practice listing.
Reviews: what the ethics codes say
This is where therapy differs most from other industries. The APA, ACA and NASW ethics codes all restrict soliciting testimonials from current clients, or from other people who are vulnerable to undue influence. Many therapists read this as “do not ask clients for reviews at all”. State boards may have their own rules. Check the code for your license.
What that means in practice:
| Common local SEO advice | What fits a therapy practice |
|---|---|
| Ask every customer for a review | Do not solicit reviews from clients; let reviews arrive on their own |
| Reply to every review | Many therapists do not reply at all; any reply must not confirm a client relationship |
| Reply to negative reviews with details | Never discuss care. If you reply, keep it fully general |
| Put testimonials on the website | Generally avoid client testimonials; use clinician bios and clear content instead |
Practices covered by HIPAA also need to treat a review reply as a possible disclosure. A safe reply, if you choose to post one, reads the same whether or not the reviewer was ever a client: “We are not able to discuss anyone’s care publicly. If you would like to talk with us, please call the practice at (503) 555-0161.”
Fewer reviews means other trust signals matter more: detailed specialty pages, clinician bios with credentials, consistent listings across directories, and a fast, calm site.
Directories and your website, working together
Directory profiles are not the enemy of your own SEO. For most practices they are the main source of inquiries in the first year, while the website builds up. Use them well:
- Keep the practice name, address, phone and clinician names identical on every directory and on your site. Consistent details are a basic local SEO signal.
- Link each directory profile to the matching clinician or specialty page on your site, not just the home page.
- Write each directory bio fresh rather than pasting your website text, so the two are not competing copies of the same page.
- Review profiles every few months. Out-of-date insurance panels or availability cause mismatched inquiries.
Over time your own pages should rank for the specific searches, and the directories cover the broad ones.
Privacy on the website itself
Clients often share sensitive information through contact forms. Keep forms short and avoid asking for clinical detail; use a secure client portal for anything beyond name, contact details and preferred times. Be careful with tracking pixels and advertising scripts on pages where people book or message you. HHS has issued guidance on tracking technologies on healthcare websites, and parts of it have been challenged in court, so check current advice with your compliance adviser before adding any.
Schema markup
schema.org has no specific type for a counseling practice. MedicalBusiness is a reasonable fit, with each clinician as a Person and their license as a credential. A simplified example:
{
"@context": "https://schema.org",
"@type": "MedicalBusiness",
"name": "Cedar Path Counseling",
"url": "https://www.example.com/",
"telephone": "+1-503-555-0161",
"address": {
"@type": "PostalAddress",
"streetAddress": "300 Example Boulevard, Suite 4",
"addressLocality": "Portland",
"addressRegion": "OR",
"postalCode": "97214",
"addressCountry": "US"
},
"areaServed": [
{ "@type": "State", "name": "Oregon" },
{ "@type": "State", "name": "Washington" }
],
"employee": {
"@type": "Person",
"name": "Rachel Moreno, LPC",
"jobTitle": "Licensed Professional Counselor",
"hasCredential": {
"@type": "EducationalOccupationalCredential",
"credentialCategory": "license",
"name": "Licensed Professional Counselor, Oregon"
}
}
}
The schema generator gives you the base block to adapt.
What to measure
Therapy practices usually have small numbers, so watch trends rather than single months.
- Rankings for issue plus city and approach plus city terms in the Rank Tracker, weekly.
- Clicks to specialty pages and the fees page in Search Console.
- Inquiries per month, and which page they came from.
- How many inquiries are a good fit. A drop in mismatched inquiries after you publish clear specialty and fee pages is a real result.
- Whether AI assistants mention the practice when asked for a therapist for a specific issue in your city. AI Visibility checks this.
Research which specialty searches have real demand in your area with keyword research before writing new pages.
Common mistakes
- A single “Services” page listing every issue, which ranks for none of them.
- Pages for telehealth in states where nobody is licensed.
- Asking clients for reviews because a marketing checklist said to.
- Replying to a review in a way that confirms the person was a client.
- No fees, so people assume therapy is out of reach.
- Contact forms that ask for detailed clinical history.
- No crisis information anywhere on the site.
A 90-day plan
| Month | Focus | Done when |
|---|---|---|
| 1 | Foundations | Site loads fast on phones, crisis footer on every page, contact form simplified, Business Profile correct (if eligible), directory profiles consistent |
| 2 | Core pages | Fees and insurance page with good faith estimate notice, starting therapy page, clinician bios, telehealth pages for licensed states |
| 3 | Specialty pages | Three to five issue or approach pages, each written or reviewed by the clinician who does that work; first ranking review |
Health content is held to a higher standard, which our glossary entry on YMYL explains. If the practice includes psychiatric prescribers, treat medication content with the same care described in our page on SEO for dermatologists: named reviewers, review dates and no promises.