Steady Minds. Stronger Relationships.

Welcome to MYOB Therapy and Consulting Community

Therapy in Des Moines, Iowa

Life can feel overwhelming when emotions run high, relationships feel unstable, or shame keeps replaying the past.

Maybe you:

• React faster than you mean to

• Push people away when you’re scared of losing them

• Get stuck in guilt or shame loops

• Struggle with anger, impulsivity, or intense mood swings

• Feel defined by a past mistake

• Are trying to rebuild after legal trouble or incarceration

• Want steadiness but don’t know how to create it

You are not broken.
You may just need skills, structure, and a place to think clearly.

What I Help With

I work with adults navigating:

• Emotional intensity and mood instability

• Relationship conflict and attachment struggles

• Trauma and post-crisis recovery

• Shame and identity repair

• Life after arrest or incarceration

• Anxiety, depression, and stress

• Accountability and behavioral change

My approach is direct, structured, and compassionate. We focus on building practical skills — not just insight — so you can respond instead of react, repair instead of avoid, and move forward instead of staying stuck.

My Approach

I use evidence-informed methods including:

• DBT-informed emotion regulation skills

• Trauma-informed care

• Attachment-based interventions

• Accountability-centered behavioral work

• Systems thinking and practical problem-solving

Therapy here is active. We name patterns. We build tools. We practice new responses.

Growth requires honesty — and it also requires hope.

A Specialized Area of Practice

I also provide therapy and consultation for individuals and families impacted by sex offense convictions and registry requirements.

This work centers on:

• Accountability

• Stability

• Relationship repair

• Reducing isolation

• Preventing further harm

• Building a life that is steady and responsible

You are more than your worst moment — but growth requires facing it.

(You can hyperlink this section to a dedicated “Persons Forced to Register” page.)

You Don’t Have to Do This Alone

Change is possible.
Stability is possible.
Repair is possible.

If you are ready to build a steadier life — I’d be honored to work with you.

Nancy K. Miller, LISW
MYOB Therapy and Consulting Community
Des Moines, Iowa