A fictional business. The figures are a modelled scenario, not a client result.
Quillfeather Counselling · Online therapy platform · Manchester
Building trust signals for a therapy platform in the most sensitive corner of search
+176%therapist-matching sign-ups from organic
Health & Wellness · Content Engine plan · 16 months · UK & Ireland
Dear Quillfeather,
Letter I
On the matter of trust,
The challenge
Mental-health queries are YMYL territory; generic self-help content was being outranked by the NHS and charities, and sign-ups had plateaued.
Quillfeather Counselling matches people in Manchester and across the UK with registered therapists online. Someone searching at 2am for help with panic attacks is about as vulnerable as a searcher gets, and Google treats these as Your Money or Your Life queries: it asks who wrote the answer, who checked it, and whether it is safe. The blog could not answer any of those questions.
The result was a library of well-meaning articles ranking on page four, behind the NHS, Mind and the Samaritans, and a matching questionnaire that the organic audience rarely found.
Letter II
What we found in the drawer,
The audit: six findings
1.
Trust
No visible expertise on 18 of 18 clinical pages
No named reviewer, no registration body (BACP, UKCP, HCPC), no review date. For a YMYL query, that is the first thing quality raters and AI systems look for, and the NHS and Mind always have it.
2.
Content
214 thin self-help posts competing with each other
Average 420 words; six separate posts targeted “how to manage anxiety”. 61% of indexed URLs earned no clicks in twelve months.
3.
Safety
Crisis signposting missing on 9 of the 10 top pages
Pages on low mood and self-harm-adjacent topics carried no route to Samaritans, 111 or 999. A safety failure first, and a strong negative quality signal too.
4.
Technical
No MedicalWebPage, Person or reviewedBy markup
Author archives were noindexed, and lastReviewed dates existed only in the CMS. Machines could not see the expertise that did exist.
5.
Sources
Citations pointed at blogs, not evidence
Only 7% of outbound references went to NICE guidance, the NHS or peer-reviewed research.
6.
Funnel
Articles led nowhere near therapist matching
Every article ended in the same “Book now” banner. Fewer than 0.4% of article readers ever reached the matching questionnaire.
Letter III
What we proposed,
The strategy, in four parts
Built on our Content Engine plan: a steady, reviewed publishing cadence rather than a burst of volume. Nothing goes live until a registered clinician has signed it off.
Part one
YMYL content
Rewrite the core library to the standard a worried person deserves: accurate, sourced, kind, with a safe next step.
—Answer first, depth after; plain English at reading age 12
—Crisis signposting block on every clinical page
—Sources from NICE, the NHS and peer-reviewed research
Part two
Clinical review workflow
Every clinical page is reviewed by a registered therapist before it goes live, and again every twelve months.
—Four-person panel, a ten-day review SLA
—Reviewer profiles with registration numbers
—reviewedBy and lastReviewed in schema and on the page
Part three
Topic clusters
Replace 214 scattered posts with condition hubs that cover a subject completely and route gently into matching.
—Anxiety, grief, relationships and burnout hubs
—Spokes merged with 301s; dead weight retired with 410
—Each hub ends with a modality-specific matching path
Part four
AI Overviews
Make each reviewed answer easy for AI systems to quote and attribute, so the brand appears where the click no longer happens.
—50-word reviewed definition at the top of each page
—Question-shaped subheads and FAQ markup
—Citation tracking across 380 monitored queries
The correspondence,
16 months, one postmark each
Audit sealed
Month 1 of 16 · Diagnosis
Audit sealed
YMYL audit of 232 URLs; 214 thin self-help posts flagged for merge, rewrite or retirement.
Organic sessions
+3%
Matching sign-ups
+1%
Reviewed articles
18
AI-overview citations
0
Use the arrow keys to move between months. Changes are relative to the month before work began.