Thirty-two specialties, each researched separately rather than relabelled. Every one has its own answer to how those patients search, who holds the terms today, and which advertising rules bite in that field. A generalist agency treats them as the same problem.
Behavioral health first, because that is where we are strongest and where the category is thinnest — not because of the alphabet.
Each one gets its own written answer to six questions, settled before any page is built. Your Brand Intelligence Book carries the same six, written for your practice, in week one.
A psychiatry search happens at midnight on a phone in a private window and mixes clinical shorthand with plain fear. An orthopedic search happens after an injury with a body part and a city in it. The query set is different, so the pages are different.
In some specialties the first screen belongs to directories that rank a listing rather than a practice. In others it is the hospital system's one thin page. The opening is different in each, and naming it is most of the strategy.
Not a template with the specialty swapped in. The priority keyword and content targets for that field, mapped to page types, so the site answers what patients actually type rather than what an agency assumed.
Google gives more weight to health content aligned with strong experience, expertise, authoritativeness and trust signals, and names trust the most important of the four. Which credentials matter, and how they are marked up, varies by field.
A telepsychiatry practice competes across a state. A surgical practice competes across a drive time. That single difference reorganises the whole location architecture, and getting it wrong wastes the entire local build.
Testimonials in psychiatry carry a risk they do not carry in optometry, because the authorisation itself documents a psychiatric relationship. Some fields trip Google Ads certification requirements. Compliance is a design constraint here, not a review step.
Search it or filter by group. Behavioral health is listed first because it is the deepest competence here, and the rest follow the order the register keeps.
No specialty matches that search. Call (949) 628-6500 and ask — if we do not serve it, we will say so.
Our founder conceived a telepsychiatry practice in 2019, months before the pandemic, and was told repeatedly that nobody would use telehealth for psychiatry. He then built the marketing system that grew it. No other agency in this category has run the practice it markets, and that is the strongest credential we own.
And that count excludes the solo and small-group private practices federal data does not capture at all. The coverage shortfall has a specific shape: the large behavioral-health specialists serve enterprise providers at scale, and most of the rest of this category is aesthetic or broad-and-shallow. Independent psychiatry, psychology and addiction treatment sit in the middle with nobody credible in the lane.
Source: Substance Abuse and Mental Health Services Administration, National Substance Use and Mental Health Services Survey, 2024 data, released September 2025. Facility counts are not practice counts, and the survey does not capture solo or small-group private practices.
One entry, in the open, so you can judge whether the other thirty-one are worth anything. This is the level of specificity every field gets before a page is built.
Most psychiatry searches start after months of deferral. The person has already tried a primary care prescription, an app, or nothing, and something finally forced the issue. A large share of these searches happen between 10 PM and 2 AM, on a phone, often in a private window — because the person does not want the search sitting in a shared account history.
The language is mixed and revealing. Half is clinical shorthand: adult ADHD evaluation, medication management. Half is plain fear: do I need a psychiatrist or a therapist, will they put me in the hospital, psychiatrist that takes Blue Shield. They are not comparing philosophies of care. They are checking whether the practice takes their insurance, how long the wait is, and whether they will be judged.
In a typical metro the first screen belongs to a directory, a booking platform, a ratings site, and increasingly a venture-funded national telepsychiatry brand. Behind those sit the hospital system's behavioral health department, which usually publishes one thin page.
The opening is real, and it is structural. Directories rank a listing, not a practice — and they monetise the click by showing your patient nine competitors on the same screen. National telehealth cannot say “in-network with your regional plan” or “we see you in person on Tuesdays.” The independent psychiatrist wins on the intersection of condition, city and payer, which is exactly the query set the national players deliberately ignore.
| What they type | Intent | The page that answers it |
|---|---|---|
| psychiatrist near me | Transactional | Location landing page |
| psychiatrist that takes [payer] | Transactional | Insurance and cost page, with payers named and self-pay fees published |
| psychiatrist vs therapist | Informational | Pillar explainer |
| adult ADHD evaluation [city] | Commercial | Condition service page |
| medication management for depression | Commercial | Treatment page |
| what to expect first psychiatry appointment | Informational | Trust and FAQ page, written in the second person |
| telepsychiatry [state] | Transactional | Telehealth service page |
| psychiatrist for anxiety [city] | Commercial | Condition plus city page |
The angle is uncertainty removal, not reassurance. Psychiatry patients do not need warmth in a hero image. They need to know what happens in the room. So: stop renting visibility from a directory that sells your patient to eight other practices on the same screen, and publish the answers the patient is actually searching for at midnight.
The three assets that outperform everything else in this field: an insurance-and-cost page that names payers and publishes self-pay fees; a first-appointment walkthrough written in the second person, naming the intake length, who the person will see, what the practice does and does not prescribe, and the current wait for a new-patient slot; and condition hubs carrying a named clinical reviewer with primary-source citations. Specificity is the trust mechanism here. Nothing else works.
The compliance notes that come with this entry: patient testimonials in psychiatry require written authorisation under 45 CFR 164.508(a)(3) and remain risky even with it, because the authorisation itself documents a psychiatric relationship. Google Ads requires LegitScript certification for telemedicine offering prescription services, and prohibits speculative or experimental treatment advertising. Any “most experienced” phrasing in California needs objective scientific substantiation under Business and Professions Code 651(b)(6). People-first language throughout, without exception.
Anesthesiology, radiology, emergency medicine, infectious disease and nephrology draw most of their volume from referring physicians and hospital contracts rather than from consumer search. Selling a consumer search programme to one of them is the exact failure a generalist agency produces.
The audience is a referring physician or a hospital contracting committee, so the content is not condition explainers for worried patients. It is turnaround times, subspecialty coverage, coverage hours, credentialing, technology, and the specific reasons a referral pattern would move.
The channels change with it. A Google Business Profile matters less; a genuinely useful referrer-facing site, published expertise a colleague would cite, and presence where those decisions get made matter more.
Because it costs us work, and saying so is worth more. If you run one of these five and an agency has quoted you a consumer SEO programme, the honest question is whether your volume actually comes from patients typing symptoms into a phone. Often it does not.
We will still take the engagement where there is a real consumer component — an interventional practice, a direct-access imaging line, a nephrology group building a chronic-care panel. But the plan looks different, and it should.
Where did your last twenty new patients come from? If the answer is a referring physician, a hospital contract or an ED admission, then patient-facing search is a second-order channel for you and any agency treating it as the first one is about to spend your money in the wrong place. Bring that answer to the call and we will build the plan around it instead of around a template.
Not “32 and more,” not “all specialties.” The register is written down and the number is exact, which means you can hold us to it — and it means if your field is not on the list, we will tell you rather than improvise.
It means we have not written the register entry yet, not that we cannot help. Call and ask. What we will not do is tell you we specialise in your field when the honest position is that we would be learning it on your budget — so expect a straight answer about which parts of the method transfer directly and which would take research we have not done. Thirty-two is an exact count for a reason.
We do not offer market exclusivity, by decision. An exclusivity promise is a promise to turn away a practice that needs the work, and it prices the second-best practice in a zip code out of good marketing entirely. What we build instead is an asset your competitor cannot copy, because it is 500 pages deep in your voice with your clinicians' names on it. Exclusivity protects you from us; depth protects you from them. The full counter-argument is on the services page.
Because ordering a list alphabetically implies every entry is equally strong, and ours are not. Psychiatry, psychology and addiction treatment are the deepest competence here: our founder conceived and built a telepsychiatry practice starting in 2019, before the category existed, then built the marketing system that grew it. It is also where the category is thinnest. Putting them first is a claim we can defend; putting Allergy first because of the alphabet would tell you nothing.
All of the ones you practise, and that is a scoping conversation rather than a footnote. A multi-specialty group usually needs a deeper tier on the page ladder, because each service line carries its own condition and location architecture and they must not compete with each other for the same queries. The thing to avoid is a single combined services page standing in for four specialties — that is one page answering one question for four different patients.
Differently, and this is one of the six questions each specialty entry has to answer. A telehealth practice competes across every state where its providers are licensed, so the architecture is state and condition rather than drive time and neighbourhood, and the Map Pack matters less than it does for a clinic with a waiting room. Any telehealth page also carries a required disclaimer about state licensure and emergencies. Getting this wrong wastes an entire local build, which is why it is settled before the sitemap.
You can see the substance of it on the call, and you get it in writing in week one as part of your Brand Intelligence Book — the same six questions answered for your practice, your market and your payers rather than in general. The psychiatry walkthrough above is published precisely so you can judge the depth before you commit to anything.
Ask us about your field, or call (949) 628-6500. If we are not the right firm for your specialty, we will say so on the first call.
Thirty minutes with Steven and you will know who currently holds the terms you should own, how deep their site is, and what the review picture looks like in your zip code. You should leave the call knowing at least one thing about your own market that you did not know before.
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