Case Study: Counselling Service in Durham

How Bolt Digital turned underperforming campaigns into a steady patient pipeline, growing monthly conversions from 40 to 143 while dropping cost per lead from $11 to under $5 in under 8 months.

A woman thinking about her mental health
Case Study

774 Patient Bookings & Cost Per Lead Cut in Half — For a Counselling Service in Durham Region

How Bolt Digital turned underperforming campaigns into a steady patient pipeline, growing monthly conversions from 40 to 143 while dropping cost per lead from $11 to under $5.

774
Conversions
56%
CPL Reduction
254%
Monthly Conversion Growth
Client
A Mental Health Counselling Service
Industry
Mental Health / Counselling
Location
Durham Region, Ontario
Services
Google Ads (PPC) • Facebook Ads

The Challenge

A counselling practice in Durham Region was struggling to grow through digital marketing. They had tried running ads themselves and through another agency, but the cost per conversion was too high and leads weren't coming in fast enough to sustain growth. The campaigns lacked structure, targeting was broad, and budget was being wasted on clicks that never turned into booked sessions.

In the mental health space, demand is high but competition for online visibility is fierce. The clinic needed a partner who could take over their campaigns, cut the waste, and turn paid advertising into a reliable, cost-effective source of new patients.

The Strategy

Bolt Digital took over in October 2025, restructuring campaigns on both Google and Facebook with a clear focus: lower cost per lead, increase conversion volume, and scale what works.

🎯 Google Ads (PPC)

Rebuilt the search campaign structure around high-intent counselling and therapy keywords targeting Durham Region. Ad groups were tightened to match specific service queries — anxiety counselling, couples therapy, family counselling, and more. Bid strategies were optimized for conversions, ad copy was rewritten to speak directly to people ready to book, and negative keywords were layered in to eliminate wasted spend. The result was a steady, month-over-month improvement in both conversion volume and cost per lead.

📣 Facebook Ads

A landing page view campaign was launched to drive affordable, high-volume website traffic from the Durham Region area. At just $0.36 per landing page view, the campaign pushed over 5,600 potential patients to the clinic's website while building widespread awareness with nearly 318,000 impressions across the local community.

Results: Google Ads

774
Total Conversions
In 8 months
$6.97
Avg Cost Per Lead
$5,390
Total Spend
2,289
Clicks
28,797
Impressions
$4.93
Best Month CPL
April

Monthly Conversions — Growing Month Over Month

Oct
40
Nov
65
Dec
82
Jan
123
Feb
119
Mar
60
Apr
142
May
143

Cost Per Lead — Declining Month Over Month

Oct
$11.11
Nov
$9.31
Dec
$8.43
Jan
$5.64
Feb
$5.89
Mar
$11.61
Apr
$4.93
May
$5.96
CPL dropped from $11.11 to $4.93 — a 56% reduction at its best

Results: Facebook Ads

5,608
Landing Page Views
$0.36 each
318K
Impressions
99,141
People Reached
$1,996
Total Spend

The Full Picture

774
Google Conversions
5,608
Website Visits (FB)
$7,386
Total Combined Spend

🚀 Conversions grew from 40 per month to 143 per month — a 254% increase — while cost per lead was cut from $11.11 to under $5. The previous agency couldn't deliver these numbers. Bolt Digital did it in 8 months.

Before & After Bolt Digital

Before
✗ High cost per conversion
✗ Campaigns poorly structured
✗ Low lead volume
✗ Budget wasted on unqualified clicks
✗ Previous agency underperforming
After Bolt Digital
✓ Cost per lead cut to $4.93
✓ 774 conversions in 8 months
✓ 143 bookings/month at peak
✓ 5,608 website visits from Facebook
✓ 347K+ combined impressions

Is Your Marketing Underperforming? Let's Fix That.

This counselling practice was spending money on ads that weren't delivering. Bolt Digital rebuilt their campaigns and generated 774 bookings at under $7 each — cutting their cost per lead in half. If you're a therapist, counsellor, or healthcare provider not getting the leads you need, we should talk.

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