Troika Jackson-Grillo, LMFT

Troika Jackson-Grillo is a Licensed Marriage and Family Therapist (LMFT) in California who focuses on helping people navigate grief, trauma, and family struggles. She centers the individual's experience and looks for practical ways to reduce overwhelming feelings. Troika aims to create a calm space where people can take small steps forward.

She combines cognitive behavioral techniques with attachment-based ideas to address patterns that keep people stuck. Sessions often include identifying unhelpful thoughts, trying new ways of relating, and practicing skills between meetings. Troika also draws on client-centered work to follow each person's pace and priorities.

With 13 years of experience, she has worked with varied concerns such as abandonment, codependency, dissociation, and problems tied to family of origin. She also offers support around hospice and end-of-life issues and grief that follows loss. Her approach is practical and relational rather than abstract.

Troika pays attention to how past connections shape current relationships and coping. She helps people notice patterns and make different choices in daily life. Expect a mix of talking, skill-building, and reflection tailored to specific goals.

Sessions are offered in English and take place online through video, phone, live chat, or text messaging. Troika uses a subscription model for sessions that can be canceled at any time, and scheduling follows the site's matching process.

Approaches that guide online care

Troika uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors. CBT often focuses on practical steps and homework so people can test new ways of thinking between sessions. She also relies on Attachment-Based Therapy to look at how early and current relationships shape reactions today, which can help when addressing abandonment, codependency, or communication problems.

Finding the right approach is part of the work. Troika collaborates with each person to see which methods fit their goals and preferences. She adjusts the balance of skill practice, relational exploration, and reflective conversation as the relationship develops.

Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility. Video calls allow for face-to-face conversation and visual cues, while phone sessions can be easier when lower bandwidth or a shorter check-in is needed. Live chat and text messaging can support brief check-ins, between-session skill practice, or ongoing encouragement without scheduling a full session.