Tag: Negative Keywords

  • Why Google Ads Structure Can Make or Break Performance

    Why Google Ads Structure Can Make or Break Performance

    How campaign structure shapes Google Ads performance

    When I audit Google Ads accounts, it is easy to focus first on the obvious issues: keywords, bids, ad copy, and Quality Scores. But one of the biggest performance barriers I see is not buried inside a single campaign setting. It is the way the account was structured from the start.

    Campaign structure shapes how Google’s machine learning reads the account, how budget moves across goals, and whether useful data is collected in one place or scattered across too many campaigns. When the structure is wrong, I am not just leaving performance on the table. I am making the algorithms work harder with weaker signals.

    That is why I look closely at structure across standard Search campaigns, Performance Max, and Smart Bidding. The account architecture often determines whether optimization efforts can actually work.

    How campaign structure shapes Google’s learning

    I used to see advertisers treat campaign structure mainly as a cleanup exercise: tidy ad groups, logical naming, and campaigns separated by product line or geography. To Google’s systems, though, structure means something much more important.

    Every campaign is a data container. The way I segment campaigns determines which signals Google can pool together for bidding and targeting decisions. When the structure is scattered, the learning is scattered too, and optimization becomes slower and less accurate.

    Smart Bidding and automation usually perform better when more data is concentrated in fewer campaigns. Google’s algorithm needs meaningful volume, often around 30 to 50 conversions per campaign per month, to move beyond the learning phase and make reliable predictions. If I spread conversions across too many campaigns, each campaign can end up starved of the data it needs.

    A common example is an ecommerce account with 12 separate Search campaigns, one for each product category. Each campaign averages 8 to 12 conversions per month. Smart Bidding is active, but no campaign consistently exits the learning phase.

    In that situation, the fix is usually consolidation.

    Over-segmentation breaks Smart Bidding

    Smart Bidding strategies such as Target CPA, Target ROAS, Maximize Conversions, and Maximize Conversion Value depend on real-time signals like device, location, time of day, audience, search query, and more. Google weighs those signals together to predict which auctions are worth entering and how much to bid.

    When I see campaigns that are over-segmented, I usually see the same problems appear. First, conversion volume is too low, so each campaign operates below the level Google needs for confident bidding decisions. That often leads to unstable CPAs and CPCs.

    Second, learning phases last too long. Every budget change, bid strategy switch, or structural edit can trigger a new learning period. Over-segmented accounts can feel permanently stuck there, never reaching their full potential.

    Third, signal consolidation is missed. Bidding signals do not freely transfer across campaigns. A branded campaign cannot teach the algorithm inside a non-branded campaign, even when both campaigns share the same conversion goal.

    Finally, bid cannibalization becomes a real risk. When multiple campaigns compete in the same or overlapping auctions, I can end up driving up my own costs and creating avoidable inefficiency.

    The result is an account that looks optimized on the surface, with Smart Bidding enabled, audiences attached, and conversion tracking active, but still underperforms because the structure underneath is working against every optimization layered on top of it.

    The impact of Performance Max

    Performance Max adds another layer to campaign structure. Unlike Search campaigns, PMax runs across Google inventory, including Search, Display, YouTube, Gmail, Discover, and Maps. It uses asset groups and audience signals to guide automation, which makes setup more important and more complicated.

    Asset group segmentation

    I think of asset groups inside PMax as mini-campaigns. Google uses them to understand context, match creative to searches, and optimize delivery. When asset groups are too broad, mixing unrelated products, audiences, or themes, the algorithm has a harder time matching the right creative to the right situation.

    I prefer to segment asset groups by product category or service line, audience intent level such as prospecting versus retargeting, and creative theme or offer type.

    This gives Google clearer signals about what each group is meant to accomplish, which can improve both creative matching and bidding efficiency.

    PMax and Search campaign overlap

    One of the most damaging mistakes I see in accounts running both Search and Performance Max is failing to set clear boundaries between them. PMax can serve across all placements, including branded and non-branded searches, so it can compete with Search campaigns if I do not define where each campaign type should operate.

    Without proper segmentation, PMax can cannibalize high-intent branded search traffic and inflate costs on terms I might have won more cheaply through Search. Search campaigns can lose impression share they otherwise would have captured, and attribution becomes harder to interpret because it is less clear which campaign is truly driving performance.

    My preferred solution is to use campaign-level negative keywords, brand exclusions, and clear audience segmentation. PMax should complement Search campaigns, not compete with them.

    Budget allocation and automation conflict

    PMax runs as a single campaign with a single budget, but because it delivers across multiple channels, budget allocation happens dynamically. When PMax and Search campaigns are not organized around clear goals, Google may spend on the easiest placements rather than the best ones.

    Structural choices, such as whether I run one PMax campaign or split campaigns by product line, directly affect how budget is distributed and how well automation can support business goals.

    Match type strategy and its structural implications

    Match types are often treated as a keyword-level decision, but I see them as a structural decision too. Running broad match, phrase match, and exact match across separate campaigns, or even separate ad groups, without a coherent strategy can create overlap and wasted budget.

    Google Ads looks very different than it did a few years ago. Broad match now casts a much wider net, and Google increasingly pushes advertisers to pair it with Smart Bidding. That combination can work, but only when the campaign structure gives the algorithm enough support.

    Broad match with Smart Bidding works best when there is enough conversion data, a clear goal, and enough traffic for Google to learn from. In a fragmented account, broad match can make the problem worse. It brings in more searches, but the algorithm does not have enough clean data to make good use of them.

    The safer approach is to keep match types within fewer campaigns, use negative keywords to prevent campaigns from bidding against each other, and review search term reports regularly so I can tighten boundaries where needed.

    Keyword and ad group architecture: When granularity becomes an obstacle

    Single Keyword Ad Groups, or SKAGs, are mostly a thing of the past, but many accounts still carry their legacy: hundreds of tiny ad groups with one or two keywords and nearly identical ads. That level of detail made sense when advertisers managed bids manually. Today, it often works against Smart Bidding.

    Too many ad groups create the same data problem at a smaller scale. Responsive search ads perform better when they have more to learn from, including which headlines get clicked, which asset combinations work, and how auctions behave. That learning happens faster when ad groups are consolidated around broader themes.

    I usually aim for three to five tightly themed ad groups per campaign instead of dozens of micro-segmented groups. Each ad group should include enough keyword variation to generate useful data while staying focused enough to preserve message relevance.

    The goal is maximum signal quality. If structural granularity does not improve data consolidation, it is usually unnecessary complexity.

    Conversion goals and campaign alignment

    Structure also determines which conversion actions each campaign optimizes toward, and I consider goal misalignment one of the quietest performance killers in Google Ads.

    If multiple campaigns share a poorly defined conversion goal, or if different campaigns optimize toward different actions without a clear hierarchy, Smart Bidding receives conflicting instructions. It may optimize toward micro-conversions like page views or add-to-carts when the real objective is form fills or phone calls. It may also treat goals as equal when one is clearly more valuable than another.

    A structurally sound account connects campaign goals to business objectives, not just platform metrics. It separates primary conversions from secondary tracking actions, and it uses accurate conversion values when campaigns rely on value-based bidding.

    Performance Max is especially sensitive to conversion goal quality. Because PMax controls its own bidding and placement decisions, it will optimize aggressively toward whatever I tell it matters most. If that signal is wrong, the campaign may optimize efficiently toward the wrong outcome.

    Signs your structure is hurting performance

    Structural problems rarely announce themselves clearly. I usually see them show up as issues that are easy to blame on ads, bids, or audiences.

    Persistent learning phase warnings are one sign. Campaigns may be frequently flagged as limited by learning even when budgets are consistent. Unstable CPAs or ROAS are another warning, especially when performance swings do not settle over time.

    I also watch for high impression share lost to budget when total budgets seem adequate, disproportionate spend flowing into a small number of campaigns, limited visibility into PMax search terms, and declining Quality Scores as the account grows across too many ad groups.

    When two or more of these symptoms appear at the same time, I treat structure as a likely root cause. Bid adjustments and creative testing will not fix the problem until the foundation is corrected.

    A framework for structural audits and consolidation

    Restructuring an active account carries risk. Any major structural change can trigger learning phases and temporary performance disruption, so I consolidate carefully and use data as the guide.

    Step 1: Assess conversion volume by campaign

    I start by identifying which campaigns consistently generate 30 or more conversions per month and which fall below that threshold. Campaigns with low volume are usually candidates for consolidation.

    Step 2: Map audience and intent overlap

    Next, I look for campaigns that compete against each other for similar searches or audiences. Overlap creates waste, and structural waste is one of the most expensive forms of inefficiency.

    Step 3: Evaluate PMax and Search boundaries

    Then I audit how PMax and Search interact. I want to know whether brand terms are being captured by the right campaign type and whether negative keywords are in place to prevent cannibalization.

    Step 4: Simplify ad group architecture

    From there, I move away from SKAG-style granularity and toward theme-based groupings. Ad groups that serve overlapping intent should usually be consolidated into broader, cleaner themes.

    Step 5: Align conversion goals

    Finally, I audit conversion actions across all campaigns. Primary goals should match real business outcomes, and value-based bidding inputs should reflect actual revenue data whenever possible.

    Important: I would not restructure everything at once. I would start with the highest-spend campaigns, monitor performance through the learning phase, and validate results before moving to the next round of consolidation.

    Campaign structure comes first

    I see campaign structure as the foundation of Google Ads performance. When it is right, Smart Bidding, Performance Max, and audience targeting can work with stronger signals, clearer goals, and more efficient budget allocation.

    When it is wrong, no optimization layered above it can fully solve the problem. Bids cannot fix fragmented data. Creative cannot correct misaligned conversion goals. Performance Max cannot prioritize efficiently when its boundaries with Search are unclear.

    The biggest performance improvements in Google Ads often do not come from a new bid strategy or a sharper headline. They come from stepping back, auditing the account architecture, and rebuilding the foundation everything else depends on.

    Structure first. Optimization second.


    Inspired by this post on Search Engine Land.


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  • Win Competitor Traffic With Demand Gen Conquesting

    Win Competitor Traffic With Demand Gen Conquesting

    I have seen traditional competitor campaigns turn into expensive click traps. When someone searches for a competitor’s brand, they are often already close to buying, which means my ad can become little more than a brief detour on their way to converting somewhere else.

    That does not mean I have to give up on competitor-aware audiences. Instead of relying only on competitor brand bidding, I can use Demand Gen campaigns and negative-intent keywords to reach those buyers more efficiently, often at a lower cost.

    Demand Gen: Reaching the right audience for less

    Before I focus on negative-intent keywords, I like to look at Demand Gen because it gives me another way to reach people who may not know my brand yet but are already showing signs of interest in my market.

    For Demand Gen to work well, I need two things: strong targeting and strong creative. Within that targeting, custom audience segments and lookalike audiences are essential.

    Custom segment targeting lets me reach people who have searched for specific terms on Google or who show certain interests and purchase intentions. It is also one of the most practical ways I can get in front of users researching my competitors without paying the higher price of a search click.

    New custom segment

    When I create a new audience inside a Demand Gen campaign, custom segments are one of the first targeting options I see, right after the audience name.

    From there, I choose the option for People who searched for any of these terms on Google and add as many relevant competitors as I can. This helps me reach a highly relevant audience across Google’s inventory at a lower cost than a traditional search network click.

    If I am not sure which competitors to include, I start by typing my main product or service into Google Ads and reviewing who appears. Those businesses are usually my primary competitors, and depending on the networks I opt into, my ads can appear across YouTube, Discover, and Gmail.

    Designing conquesting landing pages for Demand Gen

    When I use Demand Gen for conquesting, I need a landing page built specifically for that audience. I want to highlight my key differentiators, show social proof, and make it obvious why my product or service deserves consideration.

    The click is only the first step. Once someone lands on my page, the offer has to be clear, specific, and aligned with the ad they just clicked. I need to explain the value thoroughly and guide the visitor toward a call to action that matches the promise I made in the ad.


    Negative-intent conquesting: Targeting competitor weaknesses

    But Demand Gen is not always the right starting point. If I do not have strong image or video assets, I may be better off staying closer to the search network.

    Because high-quality creative tends to perform best across Demand Gen placements, search can make more sense when those assets are not available. That is where negative-intent conquesting becomes useful.

    Image

    Most advertisers understand traditional competitor search campaigns, but many overlook the people who are not simply searching for a competitor. They are searching for alternatives, comparisons, cheaper options, or signs that another company can solve the problem better.

    I often see this happen during the consideration phase. A user may search for terms like “companies like X,” “companies cheaper than X,” or, for branded products, “dupe for X.” Not every variation will have enough volume to bid on, but these searches reveal where serious comparison research is happening.

    Building campaigns around competitor pain points

    If I know a competitor has a reputation for poor customer service, I might test keywords such as “customer service complaints for [competitor].” I would keep this focused in a single ad group with closely related keyword variations.

    In the ad copy, I would focus on what makes my customer service stronger, faster, or more helpful. Because of trademark policies, I would avoid naming the competitor directly in the ad text and instead emphasize the benefit I can prove.

    Traditional competitor campaigns focus on bidding against a brand name. Negative-intent conquesting focuses on the weakness behind the search. The audience already knows the competitor, but they are actively looking for a better option.

    I can also pair this approach with a separate custom audience, which lets me reach people searching for these alternatives across Google’s networks.

    For this to work after the click, the landing page matters just as much as the keyword and ad. If my ad promises a better solution to poor service, high prices, or another competitor weakness, the landing page has to validate that claim and present a unique value proposition that directly addresses the concern.

    Target competitor audiences before the decision is made

    The biggest challenge with traditional competitor campaigns is not always the competitor. It is timing.

    When someone searches for a competitor’s brand name, they may have already narrowed their options and moved close to a decision. That is why competitor keyword campaigns can become expensive and hard to scale profitably.

    Demand Gen and negative-intent conquesting help me approach the same audience from different angles. Demand Gen lets me reach potential customers before they commit to a brand, while negative-intent conquesting reaches them when they are actively questioning their current options.

    My goal is simple: I want to reach potential customers when they are most open to considering a different choice. If I can do that with the right targeting, message, and landing page, competitor traffic becomes much easier to win without overspending on traditional brand bidding.


    Inspired by this post on Search Engine Land.


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  • Semantic PPC and SEO Tactics That Still Win With AI

    Semantic PPC and SEO Tactics That Still Win With AI

    Why advanced semantic techniques still matter in PPC and SEO

    Now that I can use AI to generate keywords and launch a paid search campaign in minutes, it is tempting to think the hardest part of PPC and SEO work has already been handled.

    But I still need more than fast keyword output if I want structured, scalable performance. I need to understand how search actually works, how people phrase intent, and how noisy search term data can distort a campaign if I do not organize it properly.

    That is where semantic techniques such as n-grams, Levenshtein distance, and Jaccard similarity continue to matter. I use them to interpret messy data, apply real client context, and build frameworks that AI alone cannot reliably produce.

    What I learn from n-grams in PPC and SEO analysis

    I think of n-grams as the “n” words that make up a keyword. In the search term “private caregiver nearby,” I can break the phrase into smaller pieces that are easier to analyze.

    • 3 unigrams (one word): “private,” “caregiver,” and “nearby”
    • 2 bigrams (two consecutive words): “private caregiver” and “caregiver nearby”
    • 1 trigram (three consecutive words): “private caregiver nearby”

    I use n-grams because they simplify large keyword lists without stripping away the patterns that matter.

    For example, I recently restructured several campaigns that had more than 100,000 search terms. By using n-grams, I reduced those lists into much more workable sets.

    • ~6,000 unigrams.
    • ~23,000 bigrams.
    • ~27,000 trigrams.

    Once I have those smaller sets, I can spot patterns quickly. If every keyword containing the “free” unigram performs poorly, I can exclude “free” as a broad match negative.

    On the other hand, if I see that “nearby” performs especially well, I may test more local variations, build location-specific landing pages, or adjust campaign structure around that intent.

    I still have to respect the limits of this method.

    • I need a large volume of search terms, so this approach usually works best for accounts with bigger budgets.
    • As “n” gets larger, the output becomes less useful because the data expands again. At that point, I usually need more advanced methods such as Levenshtein distance or Jaccard similarity.

    How I cluster keywords with n-grams

    When I analyze SEO and PPC data, I often deal with huge volumes of long-tail search terms. Many appear only once and carry very little standalone data.

    N-grams help me turn that chaotic long-tail data into clearer, more manageable intelligence.

    That intelligence helps me reduce wasted spend, find new opportunities, and build a structure that can scale.

    • I start by exporting search term data. In PPC, that includes cost, impressions, clicks, conversions, and conversion value by search term.
    • For each n-gram, I sum cost, impressions, clicks, conversions, and conversion value.
    • Then I calculate CPA, ROAS, CTR, CVR, and any other metrics that matter for the account.

    With a shorter and more digestible dataset, I can rank the top-spending n-grams that do not convert, which often become negatives, and the ones that do convert, which become positives.

    From there, I build ad groups around recurring n-grams that consistently drive performance.

    For example, I may find that emergency-related n-grams such as “24/7,” “same day,” or “urgent” deliver higher conversion rates. I would segment those terms so I can control budget, bidding, and messaging more precisely.

    Bottom line: I use n-grams to isolate themes that deserve special attention.

    Once I have identified those themes, it becomes much easier to build advanced paid search structures around high-impact n-grams and improve ROI.

    Dig deeper: How to uncover hidden gems in your paid search accounts

    How I use Levenshtein distance to improve keyword quality

    Levenshtein distance measures the minimum number of single-symbol edits, including insertions, deletions, or substitutions, needed to turn one string into another.

    That may sound complicated, but the idea is simple once I put it into practice.

    The Levenshtein distance between “cat” and “cats” is 1 because I only need to add the “s.” Between “cat” and “dog,” the distance is 3.

    One common PPC use case is finding brand and competitor misspellings inside search term reports.

    For example, “uber” and “uver” have a Levenshtein distance of 1, so I would feel confident excluding the misspelled version from non-brand campaigns.

    I can apply the same logic to keyword relevance.

    If the distance between a keyword and the search terms it matches is too high, such as 10 or more, those terms probably have very little in common with the keyword and deserve review.

    A low distance usually tells me those queries are close enough to be safe and do not need the same level of manual inspection.

    How I consolidate PPC keywords with Levenshtein distance

    After I use n-grams to create initial keyword clusters, I may still have thousands of search terms to organize into a practical campaign structure.

    Manually sorting through 6,000 unigrams is not realistic. This is where Levenshtein distance becomes especially useful.

    Venn diagram showing sets A and B with their overlapping intersection labeled A&B, illustrating Jaccard similarity for SEO and PPC keywords.
    A simple Venn diagram visualizes how Jaccard similarity measures the shared overlap between keyword sets A and B in semantic PPC and SEO analysis.

    My goal is to merge ad groups that target nearly identical keywords so I do not end up with an overly granular, SKAG-like structure.

    Too much granularity makes reporting and account management harder. It can also create inefficient bidding and wasted spend.

    Using the same dataset, I calculate the Levenshtein distance between queries across different ad groups.

    Then I identify the closest keyword and ad group using a predefined threshold. A threshold of 3, for example, gives me a high degree of accuracy.

    This helps me consolidate keywords and ad groups with confidence. If I use a looser threshold, such as 6, I can also group or name ad groups by broader similarity or intent.

    Here is a simple example showing why these three keywords can be grouped together:

    Levenshtein distance24/7 plumber24 7 plumber247 plumber
    24/7 plumber011
    24 7 plumber101
    247 plumber110

    Dig deeper: How to use negative keywords in PPC to maximize targeting and optimize ad spend

    How I go further with Jaccard similarity

    In PPC, I use Jaccard similarity as a practical proxy for understanding the overlap between two sets of n-grams.

    The calculation is straightforward: I divide the number of shared unigrams between two sets by the total number of unique unigrams across both sets.

    It sounds technical, but I visualize it simply:

    • Jaccard similarity = Red / Green
    A plus B - A and B

    Here are a couple of concrete examples I use to explain the concept:

    • “new york plumber” and “plumber new york” = 1 because all three unigrams appear in both sets, just in a different order.
    • “new york plumber” and “NYC plumber” = 0.25 because only “plumber” is shared, and there are four unigrams in total.

    Jaccard similarity is a helpful first step for deduplicating similar keywords. I see it as a bridge between old phrase match logic and broad match modified logic.

    But it has an important limitation: it does not understand meaning.

    In the example above, “new york” and “NYC” should be treated as equivalent, but the Jaccard calculation sees them as different.

    To handle that kind of nuance, I need more advanced techniques, which I would treat as the next layer of analysis.

    How I combine Jaccard similarity and Levenshtein distance

    Consider a cybersecurity course campaign with the following top 10 keywords:

    KeywordSemrush average monthly searches in the U.S.
    cybersecurity courses5,400
    cybersecurity online course1,900
    free cybersecurity courses1,300
    online cybersecurity courses1,300
    cybersecurity course1,000
    cybersecurity courses online880
    google cybersecurity course880
    cybersecurity courses free720
    cybersecurity free courses590
    cybersecurity online courses480

    By combining singular and plural versions, along with reordered versions of the same idea, I can reduce that top 10 into a more actionable top four.

    • “Cybersecurity courses.”
    • “Cybersecurity courses online.”
    • “Free cybersecurity courses.”
    • “Google cybersecurity course.”

    I could use n-grams to do this, but scaling n-gram analysis across thousands of keywords can quickly become overwhelming.

    A more efficient approach is to use both similarity metrics in sequence.

    • First, I apply Levenshtein distance to consolidate very similar queries.
    • Then I use Jaccard similarity to deduplicate reordered variants.
    • At each step, I sum the usual KPIs, including cost, conversions, and other performance metrics, so the analysis stays actionable.

    The result is a clear, compressed structure that can hold up even as search term volume grows.

    How I restructure paid search campaigns with semantic techniques

    With the right semantic techniques, I can restructure massive keyword sets quickly and still produce consistent, high-quality results.

    AI can absolutely help me create an initial summary, but I do not rely on it entirely.

    Otherwise, I run into the classic problem of “garbage in, garbage out.”

    Broad match can be powerful, but it also introduces more noise. These techniques help me verify that the queries I am matching stay aligned with campaign goals.

    I use n-grams, Levenshtein distance, and Jaccard similarity to apply client context to raw search data and build a stable structure around real intent.

    If the process feels overwhelming at first, I use this summary to decide which technique fits the job:

    ScenarioBest techniqueWhy
    Identify high-intent patterns in huge search-term exportsn-gramsSurfaces themes fast; reduces dimensionality
    Clean duplicate / near-duplicate keywords at scaleLevenshtein distanceCaptures spelling + structural similarity
    Deduplicate reordered or slightly varied keyword stringsJaccard similarityOrder-insensitive token-based comparison
    Create scalable clusters for campaign rebuildsCombo: Levenshtein → Jaccard → n-gramSequence gives accuracy + compression

    For me, the main lesson is simple: AI can accelerate PPC and SEO work, but semantic analysis gives that work structure, signal quality, and strategic control.


    Inspired by this post on Search Engine Land.


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  • Medical PPC Ads: My Guide to Safer, Stronger Results

    Medical PPC Ads: My Guide to Safer, Stronger Results

    PPC advertising for medical and mental health services comes with more restrictions than many other industries, but I still see it as one of the most effective ways to keep a steady flow of new patients and clients coming into a practice.

    Whether I am managing campaigns for a client, promoting my own practice, or building a campaign from scratch, I focus on the same fundamentals: the right keywords, compliant messaging, clear landing pages, and lead-quality tracking.

    Choosing keywords for medical and mental health advertising

    When I choose keywords for medical or mental health advertising, I start by thinking about how real patients search. In most cases, their searches fall into three main groups.

    First, some people search by symptoms or treatment options. They may not know which professional they need yet, so they search for phrases like “treatment options for depression” or “why does my ankle hurt when I run.” I do not ignore these searches, because they can still turn into new patients or clients.

    Second, people often search for what they think the service is called. They may use simplified or incorrect terms, such as “therapist to manage bipolar medications” or “foot pain doctor.” These searches still show intent, even if the language is not medically precise.

    Third, some searchers use the correct term because they already know what they need and are ready to contact a professional. They may search for “psychiatrist” or “endodontist near me.” Even then, I watch for confusion between similar roles, such as therapist, psychologist, and counselor.

    Most of my budget usually goes toward the second and third groups, where searchers are closer to taking action and starting treatment.

    If I have a larger budget, I may also test broader symptom-based or informational searches that could convert later. These can work, but I treat them carefully because informational searchers may or may not be ready to book.

    I also rely heavily on negative keywords. They help me block searches for services the practice does not provide, which protects the budget and improves lead quality.

    Dig deeper: A guide to Google Ads for regulated and sensitive categories

    Staying compliant with ad copy

    With medical and mental health ad copy, I have to be careful. I need the ad to make it clear that help is available, but I cannot write in a way that feels too direct, too personal, or too aggressive.

    I expect some trial and error. An ad rejection does not automatically mean an account is in trouble. It usually means the ad was not approved, so I adjust the wording or request a manual review when appropriate.

    Blunt language is often where problems happen. Instead of making strong claims, I test softer, more compliant language that still communicates the value of the service.

    To stand out from competitors, I focus on practical benefits such as accepted insurance, payment options, specialized treatments, or distinctions like being family-owned, local, award-winning, certified, or licensed.

    I avoid terms like “cure” and other language that implies guaranteed results. Google and Meta both have ad policies that restrict how medical, mental health, and wellness services can be promoted.

    When an ad gets rejected, I rewrite it so it still explains the value of the practice without crossing policy lines.

    For some psychiatrists, doctors, and other medical service providers, Google Ads may also require a LegitScript.com listing, especially for addiction treatment services.

    Google Ads support or its documentation will explain whether that requirement applies to a specific practice.

    Building effective landing pages

    When I build landing or service pages, I start with the information the front office already gives to patients. That is often the clearest and most useful material available.

    I pull details from pamphlets, office materials, and common intake conversations. Then I highlight key points such as accepted insurance, cash payment options, payment plans, financing, and specialized treatments.

    I also answer the questions patients regularly ask in person or over the phone. A strong landing page should keep improving as new questions come up.

    Those questions might include whether the practice works with children, accepts Medicare, offers phone or virtual sessions, or provides a specific treatment.

    I make the next step obvious. That may mean booking an appointment, scheduling an initial consultation, requesting a free phone consultation, filling out a form or questionnaire, submitting a contact request, or calling with questions.

    I avoid vague forms and generic phone numbers with no instructions. Instead, I explain the process clearly from pre-treatment to treatment to post-treatment.

    I also like to include a FAQ section that answers questions such as “what is the process?” and “how does treatment work?” The more uncertainty I remove, the easier it is for a patient or client to take action.

    Choosing the best campaign types

    For medical and mental health services, I usually build the strategy around Search campaigns.

    Automated or audience-based campaign types, including Performance Max and Demand Gen, can run into privacy and targeting limits. Depending on the service, the ads may not be approved.

    Remarketing is typically restricted for the same reason. Video campaigns may be possible, but targeting limits often make them better suited for local branding than direct response.

    Search campaigns work well because people are actively looking for answers, treatment, or a specific type of provider. They are typing in the exact services they need.

    Many providers also use directories like Psychology Today or ZocDoc for lead generation. I still like supplementing those channels with Google or Microsoft Search campaigns because they send traffic directly to the practice’s own site and give more control over patient or client flow.

    My usual approach is to target very specific terms for people who are ready to hire a professional, then test broader symptom or research-related terms when the budget allows.

    Meta Ads can also be useful, but privacy laws limit targeting. I also have to be careful with ad copy, images, and landing pages so the campaign stays compliant.

    I review Meta’s ad policies before launching campaigns to reduce avoidable disapprovals. Meta can support larger budgets, but for most medical and mental health marketing, Google Search remains the most reliable starting point.

    Dig deeper: How to prevent Meta Ads restrictions on health and wellness campaigns

    Tracking lead quality

    With any online advertising, and especially with medical and mental health services, I need to know more than how many leads came in. I need to know which leads became real patients or clients.

    A simple CRM, whether generic or built for the industry, can track incoming leads and show which ones converted.

    Google Ads, Microsoft Ads, and Meta Ads all offer built-in CRM connections. I can also use a tool like Zapier to connect systems without needing a programmer.

    Beyond website form submissions, I also track inbound calls generated by marketing campaigns. Phone calls often represent high-intent leads, so leaving them out can distort ROI.

    Call tracking tools such as CallTrackingMetrics, CallRail, and WhatConverts can integrate with CRMs and major ad platforms to measure lead quality.

    They also offer call recording and are HIPAA-compliant, which matters when tracking performance in healthcare-related campaigns.

    Keeping medical and mental health ads effective

    To keep medical and mental health ads effective, I focus on four things: targeting the right searches, writing compliant ads, improving landing pages, and tracking lead quality.

    When those pieces work together, I can build campaigns that attract the right patients and clients more consistently.

    A steady, well-structured approach is what helps a practice maintain or expand its patient flow without creating unnecessary compliance risk.


    Inspired by this post on Search Engine Land.


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  • Mastering Negative Keywords: Your 2026 Strategy Guide

    Mastering Negative Keywords: Your 2026 Strategy Guide

    I’ve always believed that negative keywords are more than just a checklist. In 2026, they represent strategic decisions that shape how the algorithm interprets your ad account.

    If you’re still viewing negative keywords as a mere maintenance task, you’re missing out. Each exclusion signals who you intend to target, what you’re willing to pay for, and how you expect your campaigns to perform.

    Let me share six key decisions that define today’s negative keyword strategy, and explain their growing significance.

    Negative keywords help shape our campaigns so the right ad appears in front of the right audience. Achieving alignment between the user’s search query, your ad, and the landing page is crucial for creating an exceptional user experience.

    When this alignment is absent, budget is wasted, click-through rates (CTR) decline, Quality Scores suffer, and cost-per-click (CPC) rises. These challenges can make the algorithm seem like it’s working against you.

    However, many of us weren’t taught how negative keywords fit into an overall account strategy, only how to add them. Let me delve into these six critical strategic choices.

    Determining how aggressive to be with negative keywords is the first decision every account manager needs to make, yet it’s often overlooked.

    Are you relentlessly removing every low-performing search term? Are you deliberately allowing space for keyword opportunities? Or do you find yourself somewhere in between?

    There isn’t a universal right answer, but it is essential to choose your level of aggression. A growth-focused account may need a less aggressive approach, whereas an efficiency-focused account might require more aggression. This choice should align with the account’s goals and performance metrics.

    ```json
{
  "alt": "Screenshot showing Google Ads interface for adding and previewing negative keyword impact.",
  "caption": "Discover the power of managing negative keywords in Google Ads with the new preview impact feature.",
  "description": "This image displays a screenshot of Google Ads' interface, highlighting a new feature for adding and previewing the impact of negative keywords. The interface allows users to input negative keywords and view their potential impact. A pop-up message outlines the preview impact estimates. Ideal for digital marketers looking to refine their ad strategies. Keywords: Google Ads, negative keywords, digital marketing."
}
```

    Using the right match types for negative keywords is crucial. Most advertisers default to one type without understanding why.

    Here’s my breakdown:

    Use negative exact match for strictly removing specific long-tail variations, negative phrase match for groups of related queries, and negative broad match for eliminating words that indicate a misaligned audience.

    A well-thought-out negative keyword strategy utilizes all three match types, each serving a distinct purpose.

    When should you add negative keywords? This is a consideration I’ve seen approached in various ways by different account managers.

    Some add negatives weekly regardless of data, while others only when conversions drop, or during quarterly reviews. The right approach depends on your goals and data-driven insights.

    For growth-focused accounts, trigger addition when a query exceeds three times your target CPA over 90 days without conversion. For efficiency-focused accounts, use a stricter budget-focused trigger.

    The timeframe for reviewing data when deciding on negative keywords is another crucial factor.

    ```json
{
  "alt": "LinkedIn post by Boris Beceric about using negative keywords in Google Ads to avoid wasting budget.",
  "caption": "Harness the power of negative keywords to refine your Google Ads strategy and maximize your marketing budget efficiency.",
  "description": "This LinkedIn post by Boris Beceric highlights the importance of negative keywords in Google Ads for service businesses. By filtering out unwanted clicks from searches like DIY solutions or job seekers, businesses can prevent budget waste on irrelevant clicks. Boris emphasizes that effective ad management requires equal focus on what to exclude, ensuring ad spend targets ready-to-buy audiences, ultimately enhancing efficiency and conversion rates."
}
```

    A 30-day window might be too aggressive unless dealing with short-term promotions. A 90-day window is balanced and often recommended, while a 365-day window may be conservative, excellent for long buying cycles.

    Choosing the correct timeframe informs smarter strategic decisions.

    The role of AI in campaign sculpting through negative keywords is increasingly pivotal.

    Decide how much control you want versus how much you rely on the machine. Some eliminate competitor keywords, yet others let them through for conversions.

    While AI holds more information than us, sculpting is necessary for communicating your intent.

    In 2026, we have more options than ever for managing negative keywords effectively.

    You can conduct a manual review, use AI tools for suggestions, or let AI handle it fully. The key is balancing efficiency with oversight according to the comfort level and stakes of the account.

    In every era, a few principles remain true. Keep your search terms report in check, make sure to update negatives as your campaign evolves, and always remain flexible to changes in user intent.

    Ultimately, efficient advertising starts with strategic exclusion. What we choose not to target often holds equal importance to what we do target.


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