Troika Jackson-Grillo , LMFT

Troika Jackson-Grillo is a licensed marriage and family therapist who focuses on helping people facing grief, trauma, and questions about identity. She centers the person's experience first and offers steady support while people sort through painful feelings and difficult family patterns.

Troika believes clients are the experts on their own stories. She uses that view to guide practical work in sessions. Conversations move at a persons pace and focus on small, doable steps toward feeling more in control and less overwhelmed.

Her approach draws on attachment ideas and client-centered listening. That helps people understand how early relationships affect current struggles. She also uses cognitive behavioral techniques to spot unhelpful thought patterns and shift them into more helpful habits.

Troika has 13 years of clinical experience as a California LMFT. Over that time she has supported people through family conflict, abandonment wounds, dissociation, codependency, and other relationship and identity concerns. She also works with issues like disruptive mood challenges in young clients and hospice and end-of-life worries.

Sessions aim to improve communication, reduce emotional reactivity, and rebuild a sense of self-worth. Troika pairs practical skill-building with deeper exploration of meaning and identity when that feels useful. Her style is warm, direct, and focused on what helps each person make real progress.

How Troika's Approaches Work Online

Attachment-based work looks at how early relationships shape current feelings and reactions. Online sessions use gentle questions and guided reflection to help people see patterns and try new ways of relating. Client-centered therapy emphasizes listening and support. In remote sessions the therapist uses reflective listening and open questions to help people tell their story and feel heard. Cognitive behavioral therapy, used selectively, helps people identify unhelpful thoughts and test small behavior changes to reduce distress.

Choosing the right approach is a collaborative process. Troika will talk with each person about needs, goals, and preferences and then suggest ways to combine these approaches. Together they decide what to try first and adjust the plan as progress is made.

Online work is offered through video calls, phone sessions, live chat, and text-based messaging to fit busy lives. Video is often used for deeper conversations and skill practice. Phone can be a simpler option when bandwidth is limited. Live chat and text are useful for brief check-ins, homework, or ongoing support between sessions. These options make it easier to keep therapy consistent while juggling work, caregiving, or travel.