Clinical Director and owner of Connective Therapy Collective in Portland, Oregon - They have been working with folks for over 12-years to address a myriad of personal, sexual concerns in a sex-positive, non-judgmental way. They specialize in work with the LGBTQIA2S+, gender diverse people, as well as the kinky community. They are also a supervisor in training for other sex therapists.

Alex is an award-winning author, independent scholar, licensed marriage and family therapist, and former editor-in-chief of the Journal of Sexual and Relationship Therapy. They have researched and published extensively on gender, disability, sexuality, relationships, and trauma.Alex has published more than seven books and contributed to more than 25 handbooks and anthologies. Their recent book, How To Understand Your Relationships: a practical guide, is co-authored with MJ Barker and published by Jessica Kingsley Publishers. They are a frequent guest on podcasts and have hosted more than 80 episodes of their own podcast, Gender Stories.

As a licensed therapist, Alex was a co-founder of Edges Wellness Center, a group practice located on Dakota and Anishinaabe territories, currently known as Minneapolis, Minnesota. For eight years, Alex served as clinical director until 2025 when they decided to devote more time to teaching, speaking, and writing.

Owner of Marigold Counseling and psychotherapist for 20 years, they have worked with individuals, families, couples and relationships. They have created curriculum and lectured on trans gender identities and polyamorous and open relationship styles. They are also a fine artist and photographer and use art to explore gender and sexuality.