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E. Sage Crescent, LPC 

You want a therapist that's queer and neurodivergent? I get it!

My mission as a clinician is to empower queer/trans people in their identities, despite living in a world that is not only disaffirming, but actively oppressive.

I'm a queer, nonbinary, neurodivergent Licensed Professional Counselor (LPC) providing therapy for LGBTGEQIAP+ adults, neurodivergent people, and anyone who has spent their life feeling like they had to become someone else just to survive.

My clinical approach is rooted in Person-Centered Therapy and integrates Acceptance and Commitment Therapy (ACT), Family Systems and Internal Family Systems (IFS/parts work), and psychodynamic perspectives. Every client brings a different story into the room, so I don't believe in forcing people into one therapeutic model. Instead, I tailor therapy to your unique experiences, goals, strengths, and values.

I practice through a trauma-informed, intersectional, and minority stress framework because our mental health doesn't exist in isolation. Our lives are shaped by our relationships, communities, identities, and the systems we live within. Therapy should acknowledge those realities rather than pretending everyone's struggles happen in a vacuum.

I earned my Master's degree in Clinical Mental Health Counseling with High Honors from South University and have nearly five years of clinical experience supporting clients through trauma, anxiety, burnout, identity exploration, relationships, sexuality, and life transitions. I'm also pursuing a PhD in Clinical Sexology because I believe learning never stops—and because our communities deserve clinicians who continue challenging outdated ideas about gender, sexuality, and human connection.

(they/them/theirs)
Clinical Mental Health Counselor
Sex & Relationship Therapist
Therapeutic Game Master (GM/DM)

Now for the part that's harder to fit into a list of credentials.

I don't believe therapy exists to help people become better at tolerating systems that have harmed them.

Too often we're taught that healing means becoming more productive, more compliant, more "normal." We're told to shrink ourselves to fit expectations around gender, sexuality, relationships, disability, neurotype, work, family, and success.

I think healing asks something different.

Healing is about reclaiming the parts of yourself that were buried beneath shame, fear, oppression, trauma, and survival. It's about deciding which stories about yourself actually belong to you—and which ones were written by people who never really knew you.

My office is intentionally and explicitly queer-affirming, trans-affirming, neurodivergent-affirming, disability-affirming, sex-positive, kink-affirming, and welcoming of polyamorous and ethically non-monogamous relationships. You don't have to convince me your identity deserves respect before we begin. I already believe you.

That doesn't mean therapy is only about identity. Sometimes it's panic attacks, grief, trauma, executive dysfunction, burnout, family conflict, relationship struggles, or trying to figure out who you are after years of masking. Whatever brings you here, we'll approach it with curiosity instead of judgment.

I believe you're the expert on your own life. My role isn't to tell you who you should become. It's to help you reconnect with who you already are beneath the expectations, the fear, and the noise.

Around here, healing isn't about becoming easier for the world to accept.

It's about building a life that belongs to you.

My Services

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    • anxiety

    • depression

    • traumatic experiences (including religious trauma)

    • the process of transitioning/wanting to transition​​

    • "coming out" earlier or later in life

    • sex, sexuality, and/or sexual health (see below)

    • burnout & autistic burnout

    • navigating life in a world that is not affirming to neurodivergent, queer/trans, feminist (no terfs allowed in my office!), people of the global majority/intersectional, poly, kinky people

    • familial and relationship problems

    • self-esteem concerns

    • people pleasing, shame and guilt

    • stress related to being neurodivergent/Unmasking

    • life changes,

    • other things that one may need to process, and so much more! 

  • Are you looking to empower yourself through sexual health? I now offer compassionate, evidence-based sex therapy to support individuals and relationships navigating concerns such as:

    • low sexual desire

    • exploring intersections between sexuality and gender identity

    • painful intercourse

    • sexual trauma

    • difficulty with orgasm

    • arousal issues

    • introducing/exploring kink

    • decreasing shame surrounding sex and sexuality

    • exploring ethical non-monogamous dynamics

    • and so much more!

     

    My approach is trauma-informed and LGBTGEQIAP+ affirming (Ace/Aro-affirming), as well as disability-affirming, creating a safe, confidential space where you can explore the physical, emotional, and relational factors that impact your sexuality. I provide practical tools to enhance intimacy, pleasure, and connection, whether you’re seeking to heal from past trauma, improve your sexual health, or empower your sexual identity.  You deserve to feel confident and fulfilled in your sexuality—reach out today to begin your journey toward healing and self-discovery.

  • Sage Crescent, LPC, is now offering professional consultation services for mental health clinicians who want to deepen their capacity to work affirmatively with queer and neurodivergent clients. With a strong foundation in LGBTGEQIAP+ mental health, neurodivergent-affirming practices, and trauma-informed care, Sage supports therapists in identifying and shifting clinical practices that may unintentionally alienate or pathologize marginalized clients.

    These individualized consultation sessions are ideal for clinicians who are committed to making their work more inclusive, respectful, and affirming.

    Services include:

    • Review and feedback on intake forms, consent documents, and other client-facing paperwork

    • Support with revising clinical language (spoken and written) to reflect affirming, non-pathologizing practices

    • Guidance on in-session strategies to create a safer and more welcoming space for queer and neurodivergent clients

    Consultation is offered at a rate of $300 per hour, with a one-hour minimum per session. Whether you’re just starting to explore this work or looking to fine-tune existing affirming practices, Sage offers thoughtful, judgment-free guidance tailored to your needs.

    ​

    To learn more or schedule a consultation, visit sage@sageagainstthemachine.co

Work With Me
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Outside of the office...

​When I'm not in the office I am typically spending time with my lovely partners, and our animals or getting cozy and reading. I love to garden (you might notice all of the plants in my office), play video and TTRPG games, go to live music, watch movies, and enjoy all forms of art. I also have a passion for advocating for the queer community as well as sexual health and wellness in and outside of the mental health field. ​

I look forward to hearing from you! 

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A collection of buttons and pins with various messages and symbols on a gray fabric surface. The buttons include messages like 'trans rights,' 'fuck ICE and no human is illegal,' 'they/them/theirs,' and 'nonbinary therapist.' There are also stickers with political and cultural messages, including a Palestinian flag, and a die with gender pronouns.
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“My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.”
— Maya Angelou