Mental health care in Minnesota & Wisconsin
Our approach to therapy

Understand the work.
Find your starting point.

You do not need to choose a treatment method before reaching out. Tell us what has been difficult and what you would like to change. Your clinician will discuss options with you, drawing on their training, your needs, and your preferences.

Cognitive Behavioral Therapy (CBT)

Explore the connection between thoughts, feelings, and actions. Sessions may include noticing patterns, trying a different response, and practicing between appointments.

Paul & Joshua

DBT skills & approaches

Practice skills for handling strong emotions, tolerating distress, staying present, and communicating needs. Ask your clinician how these skills fit your care; skills-based sessions do not describe a comprehensive DBT program.

Paul & Joshua

Motivational Interviewing

Talk through mixed feelings about change without pressure. Your clinician helps you explore your own reasons, priorities, and next steps.

Paul & Joshua

Mindfulness & somatic awareness

Notice present-moment thoughts, emotions, and body sensations. Discuss grounding and awareness exercises with Paul, including what feels comfortable and when to pause.

Paul

Solution-focused work

Identify a manageable goal, recognize times a problem has been less intense, and explore a small step you can try.

Paul

Strengths-based & person-centered care

Start with your perspective, existing abilities, and priorities. You and your clinician discuss goals together, rather than assuming the same plan fits everyone.

Discuss with your clinician

Trauma-informed care

Care takes account of difficult experiences and your sense of safety. You can ask about pacing, choices, and how trauma-related concerns will be addressed.

Paul & Joshua

Brainspotting-informed techniques

Joshua lists Brainspotting-informed techniques among his approaches. Ask him what these involve, how they might fit your goals, and what other options are available.

Joshua
Grief facilitation & life coaching

Another way to receive support.

Nichole offers support for grief and life transitions. Sessions may include expressive arts, guided imagery, music, reflection, and practical goal setting. These services do not include mental health diagnosis or treatment. Ask us about the difference between grief coaching and clinical therapy.

A plan you can talk about.

Ask what an approach involves, how progress will be reviewed, and what you can do if something does not feel helpful. Your clinician can explain which methods they offer and discuss adjustments as your needs change.

Request an appointment ↗
Practice information: Sentinel team · ETS & Associates services · Paul’s Psychology Today profileUpdated November 3, 2026
Request an appointment ↗
×
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 ↗
×
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 ↗
×
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 ↗
×
Sentinel Behavioral Health

Paul Paladie

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

Paul is a U.S. Army combat veteran and licensed clinical social worker in Minnesota and Wisconsin. His experience spans VA inpatient care, residential treatment, crisis stabilization leadership, and clinical supervision. He works with trauma, grief, co-occurring concerns, veterans, first responders, and people navigating major transitions.

Discuss an appointment ↗
×
Sentinel Behavioral Health

Joshua Holmes

MSW, LICSW, LCSW · Co-founder

Joshua is independently licensed in Minnesota and Wisconsin. His experience includes high-acuity behavioral health, frontline responder and correctional settings, and collegiate and professional athletes. He uses approaches including CBT, DBT, Motivational Interviewing, and Brainspotting-informed techniques.

Discuss an appointment ↗
×
Sentinel Behavioral Health

Nichole Paladie

Grief facilitator & life coach

Nichole brings more than 25 years of experience supporting people through grief, loss, and life transitions. Her work may include reflection, compassion-focused exercises, expressive arts, and practical goal setting. Her services do not include diagnosis or mental health treatment.

Discuss an appointment ↗
×
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
×
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