Jessica Fink, LCSW-S

Therapist in Austin, TX

Helping anxious rule-followers release the death grip on life

Specializing in sleep issues, chronic pain, and Radically Open DBT.

Online Therapy for All Texas Residents

A clear, structured approach for people who want to understand what’s happening in their mind—and learn how to change it.

When life starts feeling unmanageable, you’ve usually been pushing through for a long time.

 

You’re used to doing everything “right.”


You plan carefully, follow the rules, and hold yourself to standards you’d never expect from anyone else.

You’ve always been the responsible one—smart, capable, reliable—so it’s especially frustrating when your own mind stops cooperating.

Lately, things have crossed a line:

 
  • A night of sleep so poor you couldn’t function at work

  • A level of exhaustion or overwhelm that genuinely scared you

  • Anxiety spiraling for days after disrupted sleep

  • Pain shutting down the activities you used to enjoy

  • A fear of failure or mistakes that makes even simple decisions feel high-stakes

You may even feel disconnected from people you care about—not because you don’t value relationships, but because opening up feels uncomfortable, vulnerable, or risky.

You’ve tried solving it on your own. You’ve read the articles. You’ve tracked the data. You’ve pushed harder.

And none of it has been enough.

It doesn’t have to stay this way. There are clear, effective methods that work.

My approach is grounded in science, structured, and practical.
Clients often tell me two things:

“I’ve learned a lot.”
“You’ve given me tools.”

You won’t just talk about what’s wrong—you’ll understand what’s happening and learn skills you can use for the rest of your life.

People I work with often experience changes like:

  • Falling asleep faster and staying asleep

  • Feeling lighter, more hopeful, and more capable

  • Getting back to the activities pain pushed out of their life

  • Navigating difficult conversations with more clarity

  • Sleeping well even while traveling

  • Reducing or fully coming off sleep medications

  • Feeling confident they can handle future setbacks

 

Hello, I’m Jessica. I’m glad you’re here.

I work with adults who value learning, crave clarity, and want a structured approach that makes sense.

My role is to help you understand your symptoms, challenge rigid patterns that no longer serve you, and use evidence-based tools to build real change.

You don’t need to figure this out alone.
You just need a framework that works.

Learn more about me →

Specialties

 
  • InsomniaHypersomniaNightmaresCircadian Rhythm Disorders

    A science-based approach to restoring healthy, predictable sleep.

  • Reducing pain-driven avoidance and helping you return to the activities that make life meaningful.

    Learn more →

  • For people who have been called “rigid,” “overly controlled,” or “too hard on themselves.” Learn how to loosen up, connect more easily, and adapt to change.

    Learn more →

A clear path forward. Ready to take the next step?

Schedule your consult today.

Featured in

Most Popular Blog Posts

  • woman lying in bed with her head at the foot of the bed

    Flip Upside Down for Better Sleep?

    Some people find they sleep better if they flip around. Why?

  • hands gripping fence tightly

    What is maladaptive overcontrol?

    You CAN have too much self-control. Learn more here.

  • split lemon on blue and white background

    DBT vs. RODBT: How are they different?

    Despite having similar names, RODBT is really different from DBT. I explain how.

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 Frequently Asked Questions for a Therapist in Austin

  • Not all therapists are psychologists but some are. Not all psychologists are therapists but some are. A psychologist has earned a PhD in Psychology (or some variation like an Ed.D or a Psy.D. but you didn’t click this to get into the academic weeds so I’ll get back on topic.) Some do therapy and some do research. Therapist is a broad term that covers multiple professions including Social Work, Professional Counseling, Marriage and Family Therapy, and Psychology. I have a blog post where I go into detail about the differences in mental health professionals. I am a social worker so I am a therapist who is not a psychologist. A psychologist can offer diagnostic testing; the other therapist professions can’t offer that service. Psychologists get more training in diagnosis. Other than that, I believe your therapeutic needs can be met by any of these licensures.

  • This depends on a lot of factors. The first is whether you are using your insurance vs. paying out of pocket. If using your insurance, you will pay a copay and maybe other momey depending on whether you have a deductible and/or co-insurance. Fees for therapists vary based on years of experience and specialized training. Lower fees are typically students under supervision or newly-graduated therapists. Sliding scale fees are more common in nonprofit settings than in a private therapy practice. My fee is $175 for a 45-minute session, $200 for a 60-minute session, and $60 for a group session.

  • Most therapists will chuckle at this question and reply that “everyone needs therapy.” Maybe that’s true, maybe it isn’t. I would say seek out therapy if your functioning and/or quality of life is impaired or just not what you want it to be.