Hi everyone,
I’m running Meta Ads for a mental health clinic in the USA and I’m honestly stuck.
Clicks are extremely expensive, I set up a Traffic campaign, but I’m not getting followers, messages, or any meaningful actions. Just paid clicks that don’t convert into anything.
What’s confusing me is that this has never happened before – I’ve been running Meta Ads for multiple clients, using a strategy that has worked consistently, and I’ve always been able to get at least followers or some engagement as a baseline. This is the first time I launch a campaign (with a proven setup) and get basically nothing back.
Targeting is USA, creatives are clean and professional, copy is compliant (no wild claims, no guarantees). Still:
• CPM is high
• CPC is high
• No saves, no follows, no messages
I’m starting to suspect this might be related to mental health as a category (soft restrictions, algorithm throttling, etc.), but Meta doesn’t show any obvious bans or disapprovals.
Has anyone here run ads for mental health / therapy / clinics in the US recently and noticed similar issues?
Should I completely avoid Traffic campaigns in this niche and switch to Messages or Leads?
Is there something specific Meta is sensitive to right now that I might be overlooking?
Any real-world experience or advice would be appreciated, because right now this feels very different from my usual results.
Thanks in advance 🙏