Illustrative case study

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

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.

What we found in the drawer,

The audit: six findings

  1. 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. 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. 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. 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. 5.

    Sources

    Citations pointed at blogs, not evidence

    Only 7% of outbound references went to NICE guidance, the NHS or peer-reviewed research.

  6. 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.

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.

Sealed and delivered,

The results after 16 months

  • 18 → 132Clinically reviewed articles
  • +164%Organic sessions
  • 47AI-overview citations
  • −58%Organic cost per sign-up

Month by month

Organic sessions and matching sign-ups, indexedBoth series start at 100 before work began. After 16 months sessions reach 264 and matching sign-ups reach 276.100150200250300StartM4M8M12M16
Matching sign-ups (index) Organic sessions (index)

Library and citations

Clinically reviewed articles18 → 132
AI-overview citations0 → 47
Organic cost per sign-up (index)100 → 42

Where the reviewed pages now rank

Google UK positions before and after, modelled
QueryClusterBeforeAfterAI Overview
what happens in a first counselling sessionFirst stepsNot top 1002Cited
how to find a therapist manchesterLocal matching413—
bacp registered counsellor onlineTrust224—
cbt for anxiety onlineAnxiety285Cited
couples counselling online ukRelationships386—
online therapy ukHead term347—
therapy for griefGrief468Cited
signs of burnout at workWorkplace579Cited

Modelled scenario for a fictional business — not a client result. Rankings and traffic are never guaranteed; see our Terms.

Yours, when you are ready,

Get a plan like this

Careful, reviewed content for sensitive subjects, built on the Content Engine plan.

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