Mental health care in Minnesota & Wisconsin
People first. Always.

You don’t have to
carry it alone.

When life feels heavy, having someone in your corner matters. Find practical, personal support for trauma, grief, stress, and the changes you didn’t see coming.

Serving people from all walks of life in MN & WI.

Individualized careLicensed in MN & WIVeteran co-foundedJudgment-free support
Care that starts with you

Whatever brings you here,
there’s a place to begin.

You don’t need the right words or a clear plan. We’ll start with what’s happening in your life and work toward what matters to you.

01 / UNDERSTAND & HEAL

Trauma & PTSD

Support for the effects of difficult experiences, with care that respects your history, your choices, and your pace.

Explore trauma support ↗
02 / MAKE ROOM FOR LOSS

Grief & life changes

A place to work through loss and change. Explore clinical therapy or grief facilitation based on the support you need.

Explore grief support ↗
03 / FIND YOUR FOOTING

Everyday mental health

Practical help with anxiety, depression, stress, emotional regulation, and life’s competing demands.

Explore individual care ↗

Here for those
who show up for others.

Veterans, first responders, law enforcement, medical professionals, and their families face particular pressures. Our team brings experience with military and frontline communities to that work.

Get to know us ↗
Real people. Personal support.

Meet your team.

Different experiences. A shared commitment to listening, understanding, and helping you decide what comes next.

Paul Paladie

Paul Paladie

MSW, LICSW, LCSW, CCTP, LADC
Co-founder · Clinical psychotherapist

Army combat veteran and licensed clinical social worker supporting people navigating trauma, grief, co-occurring concerns, and major transitions.

Meet Paul ↗
Joshua Holmes

Joshua Holmes

MSW, LICSW, LCSW
Co-founder · Clinical Psychotherapist

Practical, individualized care informed by work in high-acuity settings, frontline response, corrections, and athletic communities.

Meet Joshua ↗
Nichole Paladie

Nichole Paladie

GRIEF FACILITATOR & LIFE COACH
Grief support · Life transitions

More than 25 years of experience helping people navigate loss, reconnect with their strengths, and explore life after change.

Meet Nichole ↗
A little clarity helps

Getting started
can be simple.

You don’t have to figure everything out before reaching out. We’ll help you understand your options.

1

Tell us what you’re looking for.

Choose a support path and use our current contact form to share your availability and preferences.

2

Find the right next step.

We’ll review your request, discuss provider availability, and answer questions about session options and payment.

3

Begin with a conversation.

Once your appointment is confirmed, you’ll receive next steps. The first meeting is a chance to talk about your needs and goals.

Before you reach out

A few things you
might be wondering.

Starting care comes with questions.
There’s room for those, too.

Ask us about getting started ↗
Do I need to know what kind of support I need?

No. You can start by telling us what has been difficult and what you hope might change. We can discuss whether clinical therapy or grief facilitation and coaching is an appropriate next step.

Where do you provide services?

Our licensed clinicians serve Minnesota and Wisconsin. Please tell us which state you will be in during appointments so we can confirm provider eligibility and available session formats.

Do you accept insurance or private pay?

We accept Health Savings Account (HSA) payments. Ask us about payment options for your preferred provider and service. Insurance participation, benefits, fees, and any out-of-pocket costs should be confirmed before your first appointment.

How is grief coaching different from therapy?

Paul and Joshua provide clinical mental health care. Nichole offers grief facilitation and life coaching, which do not include diagnosis or treatment of mental health conditions. We can help you discuss which service matches your needs.

Can I book an appointment online?

You can start an appointment request through this website. Our team will follow up to discuss available times. Submitting a request does not reserve or confirm an appointment.

Can I choose a provider?

Yes. Include your preferred provider in your request. We will confirm availability and whether that provider can offer the service you are seeking.

One conversation is a place to start

Let’s take the next step together.

Tell us a little about what you need. We’ll help you find a starting point and discuss appointment options.

Request an appointment ↗Appointment requests are reviewed by our team. A time is confirmed after follow-up.
Request an appointment ↗
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Sentinel Behavioral Health

Trauma & PTSD

Trauma can affect how you feel, relate to others, and move through everyday life. Paul and Joshua provide clinical care for trauma-related concerns.

Treatment starts with understanding your needs and discussing goals together. Ask about the provider’s approach, session options, and what to expect.

Discuss an appointment ↗
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Sentinel Behavioral Health

Grief & life changes

Loss doesn’t follow a schedule. You might be looking for space to talk, help with daily life, or clinical care for symptoms affecting your functioning.

Paul and Joshua provide clinical therapy. Nichole offers grief facilitation and coaching. These are distinct services; our team can help you explore an appropriate option.

Discuss an appointment ↗
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Sentinel Behavioral Health

Everyday mental health

Stress, anxiety, depression, emotional regulation, and transitions can affect relationships, work, and everyday routines.

Our clinicians use practical, individualized approaches. Your goals and preferences help shape the work.

Discuss an appointment ↗
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Sentinel Behavioral Health

Paul Paladie

MSW, LICSW, LCSW, CCTP, LADC · Co-founder

Paul L. Paladie is a clinical executive, Sentinel Behavioral Health co-founder, licensed clinical social worker, and U.S. Army combat veteran. His experience includes VA inpatient care, residential treatment, crisis stabilization, outpatient care, and substance use services.

Licensed in Wisconsin and Minnesota, Paul provides psychotherapy and clinical supervision. His work focuses on trauma, grief, co-occurring concerns, veterans, first responders, and major life transitions. He brings experience in clinical leadership, program development, and integrated behavioral health care to his work with clients and professionals.

Paul is a Doctor of Social Work student at the University of New England, with expected completion in fall 2027.

Paul is also writing Integrated Healing, a book about the relationship between PTSD and prolonged grief disorder and how treatment can better address both. Drawing on clinical research and personal and professional experience, it explores trauma, grief, forgiveness, moral injury, and recovery. Written for clinicians, survivors, veterans, first responders, and families, the book is a separate project from his doctoral research.

Discuss an appointment ↗
×
Sentinel Behavioral Health

Joshua Holmes

MSW, LICSW, LCSW · Co-founder · Clinical Psychotherapist

Joshua Holmes, Co-Founder of Sentinel Behavioral Health, LLC, is an independently licensed clinical social worker in Minnesota and Wisconsin with extensive experience in high-acuity behavioral health, frontline responder and correctional settings, and behavioral health services for collegiate and professional athletes. His experience includes working with law enforcement, military personnel and veterans, medical professionals, justice-involved youth and adults, and serving as a hostage negotiator in high-stress emergency response situations.

Joshua earned his Master of Social Work from the University of St. Thomas and utilizes evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) approaches, Motivational Interviewing (MI), and Brainspotting-informed techniques. His clinical experience includes trauma, PTSD, anxiety, depression, stress, adjustment disorders, emotional regulation, and significant life transitions. He brings a practical, individualized approach to helping people navigate high-stress professions, trauma exposure, performance pressure, and major life changes.

Discuss an appointment ↗
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Sentinel Behavioral Health

Nichole Paladie

Grief & Life Coach

Compassionate support for life's losses, transitions, and new beginnings.

You don't have to walk through life's difficult seasons alone.

Life doesn't always unfold the way we imagined. Loss, grief, unexpected changes, and challenging life transitions can leave us feeling overwhelmed, disconnected, or uncertain about how to move forward. Sometimes we simply need someone who will listen, understand, and walk alongside us as we find our way again.

As a Grief & Life Coach, with a background in chaplaincy, spiritual care, and grief support, I offer a compassionate and supportive space where you can share your story, explore your feelings, and discover what moving forward might look like for you. I believe every person's journey is unique, and there is no right timeline or prescribed way to navigate life's challenges.

My approach is rooted in empathy, genuine connection, and meeting people where they are. Whether you are navigating the loss of a loved one, experiencing anticipatory grief, adjusting to a major life change, or feeling ready to rediscover your purpose and direction, I will journey alongside you with understanding and encouragement.

Together, we can explore the things that feel difficult, recognize the strengths you may have forgotten you possess, and begin identifying possibilities for the future. Moving forward doesn't mean forgetting what was, minimizing what you've experienced, or having all the answers. It means learning to carry your experiences with you while making room for growth, healing, and new beginnings.

My hope is that you feel heard, valued, encouraged, and never alone in the process. You deserve the opportunity to rediscover joy, find meaning, embrace change, and create a future that feels meaningful to you.

You don't have to know exactly where you're going. We can begin right where you are, one conversation and one step at a time.

Honoring where you've been, embracing where you are, and discovering the possibilities of where you can go.

Discuss an appointment ↗
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Your next step

What kind of support
are you looking for?

Choose a starting point. You can share your provider preference and availability on our contact form.

Clinical therapy ↗Trauma, PTSD, anxiety, depression, grief, or life changesGrief facilitation & life coaching ↗Support with Nichole PaladieI’m not sure yet ↗Talk with us about where to begin
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Your next step

Let’s connect.

For clinical therapy, let us know whether you prefer Paul or Joshua, or would like help choosing.

What to include in your request

Your state, preferred session format, days and times that work for you, and payment questions. We’ll follow up about availability.

Open Sentinel’s contact form ↗← Choose a different support path
×
Your next step

Let’s connect.

For grief facilitation or life coaching, include Nichole as your preferred provider.

What to include in your request

Your state, preferred session format, days and times that work for you, and payment questions. We’ll follow up about availability.

Open Sentinel’s contact form ↗← Choose a different support path
×
Your next step

Let’s connect.

It’s okay to be unsure. Let us know you would like help choosing a service or provider.

What to include in your request

Your state, preferred session format, days and times that work for you, and payment questions. We’ll follow up about availability.

Open Sentinel’s contact form ↗← Choose a different support path