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When you perform the search for "rapid drug detox" what do you see? More specifically, what would compel any user to click on your search result? there are 3 google ads and 2 organic listings before your listing the results are full of other sites: 8 additional adds on the page to the right of your listing. If you consider the total list you are 1 of 21 listings on the page. The results above you have almost the same title so there is no reason not to click the first results. You want to offer a compelling reason to skip the #1 and 2 ranked site and click your link. Some things to try: Change your title to "Rapid Drug Detox" and nothing else to see if it helps you gain the #1 ranking. Change your title to "Rapid Drug Detox - Top Safety Record!" or something similar and appropriate for your business. Other possibilities are "Rapid Drug Detox - Top Success Rates", "Rapid Drug Detox - 5 star rated", etc. Change your meta description. Your current description is ok, but try others. Since your title begins with "Rapid Drug Detox" the description does not have to as well. You can summarize and say "all narcotic detox" rather then listing them all out and add other helpful info instead. To be clear, your current title and descriptions are not necessary bad, but you are in a competitive environment and testing is required to see what changes can be made to improve your results. Try changing once a month and measuring the results. Make sure to not start counting the change until after Google captures it. Last point, consider some changes to your site so you can improve your rankings: your footer has a list of 50 states. Remove the list. It looks spammy. your copyright date shows 2010, update it to 2011 your main testimonial only shares the bad part. The point of a testimonial is to share what a positive difference your company has made. Your current testimonial basically says "A week ago I was hooked on drugs" and that's it. Where is the happy ending? You need to complete it with "...and now thanks to MDS Rapid Drug Detox program I am finally free". There should be a link to a testimonials page on your site. Examine the #1 ranked site and notice where they provide a better appearance. They have more trust symbols such as TRUSTe and other badges, for example. The bottom line is you want more traffic. You can improve your rankings and improve your SERP listing to get better CTR. Even when that happens, you want the best possible site so you can convert that traffic into sales.

Great question.... SEOs must become comfortable with "dealing with uncertainty". Search engines don't reveal how they rank websites so the best thing that you can do is to study what they do reveal, study the opinions of trusted SEOs (such as the guides and articles on SEOmoz), and ask questions in a forum like this one. Most important, you must study continuously to stay up-to-date. Keep in mind that much of the advice that you will receive will be wrong and don't trust advice that is very old. Most of the decisions that I make on running my site are made with a level of uncertainty.  However, before I make major moves I communicate with a few people that I trust to hear their opinions. Remember, it is not how many people agree it is who you are listening to - and even they are wrong some of the time.