You new eternal spark, into which night were you born?
A place for depth, reflection, and the slow art of becoming
When we become aware of our limitations, this is a purifying fire.
The Institute's mission is to offer deep healing —metanoia— through rooted, relational care, with a strong
emphasis on boundaries, individuation, and the cultivation of an integrated self.
If you’ve carried shame, lost your way in identity, or lived behind quiet armor… you are welcome here.
The Metanoia Institute is a high-touch clinical and research-based psychotherapy practice
devoted to transformative, integrative, and evidence-based mental health care for adults and adolescents.
With a presence in both New York and Nevada, the Institute offers a tailored path toward healing and self-integration.
At the core of its clinical work is attachment-focused Mentalization-Based Therapy (MBT), an evidence-based treatment that enhances relational awareness and emotional regulation. The Institute provides expert care for mood and personality disorders—including narcissistic and borderline personality structures—and is rooted in object relations theory, psychodynamic psychotherapy, and contemplative practices.
Care is offered on a selective, self-pay basis, with a commitment to privacy, flexibility, and depth. The Institute is known for its discretion and individualized approach—supporting clients not just in symptom relief, but in enduring transformation.
Learning Milieu as a living space
of shared growth and reflection
Core offerings include:
Learning Milieu as a
living space of
shared growth
and reflection
Core offerings include:
Individual therapy and noetic journeys tailored to personality structure and personal growth
Virtual care delivered with warmth and clinical rigor, preserving a human-first ethos
Medication management available.
Robert "Neal" Mills MD MBA
Robert “Neal” Mills, MD, MBA, is the founder of The Metanoia Institute, a premier clinical practice devoted to transformative psychotherapy, scientific innovation, and the mastery of emotional well-being. The Institute was born from Dr. Mills’ vision to offer a caliber of care that blends clinical depth, executive experience, and personalized discretion—serving individuals who value inner growth as much as purposeful engagement in the world.
Previously, Dr. Mills served as Global Chief Medical Officer at Goldman Sachs, where he led the firm’s mental health strategy and developed concierge health services for its most senior leadership. His work redefined psychological care models for founders, creatives, and leaders operating under extraordinary pressure—informing the elite, high-touch services now offered at The Metanoia Institute.
Clinically, Dr. Mills is trained in Mentalization-Based Therapy (MBT)—an evidence-based approach that enhances an individual’s ability to understand their own and others’ thoughts, feelings, and intentions. By strengthening this capacity for "mentalizing," MBT helps clients improve interpersonal and relationship skills, while reducing reactive, self-destructive, and emotionally dysregulated behaviors.
He receives ongoing supervision from senior faculty affiliated with Harvard Medical School and McLean Hospital’s Gunderson Personality Disorders Institute, global leaders in treating complex personality structures. He also trains with Dr. Normund Akots, an expert in object relations theory. Dr. Mills’ approach synthesizes MBT, psychodynamic, cognitive-behavioral, and contemplative frameworks, offering clients an integrated path toward healing, insight, and emotional mastery.
In addition to his private practice, Dr. Mills serves as research consultant and strategic advisor at Inspiring Children Foundation, the nation’s premier youth mental health organization. There, he leads initiatives focused on systems-level change, donor engagement, and expanding access to care for youth from underserved and often unstable backgrounds. He mentors emerging leaders, facilitates community-based interventions, and teaches mindfulness and emotional regulation. His work at ICF is further enriched by ongoing research collaborations with Columbia University faculty, helping to bridge scientific inquiry with real-world impact across both elite and vulnerable populations.
Through The Metanoia Institute, Dr. Mills brings these worlds together—offering virtual and in-person care that is as scientifically grounded as it is deeply human. Services are provided on a selective, self-pay basis, ensuring the highest level of privacy, flexibility, and personalized care. Based in New York and Las Vegas, The Institute reflects his singular mission: High-touch therapy. Far-reaching transformation.
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