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Kayla Bonkowski | The Difference Between a Therapist and a Social Worker

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Both professions involve extended conversations with people who are struggling. The training, scope, and underlying framework are different enough that treating the terms as interchangeable leads to real confusion about what each can offer. Kayla Bonkowski , a social work graduate student in Sterling Heights, Michigan, thinks the distinction deserves a plain explanation. A therapist -- typically a licensed counselor, marriage and family therapist, or psychologist -- is trained primarily to work with the individual's internal experience. The therapeutic relationship is the primary tool. The goal is usually to change how a person thinks, feels, or behaves, using one of several evidence-based modalities: cognitive behavioral therapy, dialectical behavior therapy, psychodynamic approaches, and so on. Clinical social workers are also trained in therapeutic modalities. Many licensed clinical social workers conduct individual therapy in private practice and are difficult to distinguish fr...

Kayla Bonkowski | What Social Workers Actually Do in Medical Settings

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Medical social workers operate in hospital rooms, discharge planning meetings, and family conferences. Most patients meet one at a moment of crisis, which is not the ideal introduction to what the role covers. Kayla Bonkowski , a social work graduate student in Sterling Heights, Michigan, has spent time inside these systems through her academic training and describes the medical social worker's function with the specificity of someone who has paid close attention. The entry point most patients experience is discharge planning. When someone is hospitalized and approaching medical clearance, the social worker coordinates what comes next: home health services, rehabilitation placement, medication logistics, transportation access, follow-up appointment scheduling. This is operational work. It requires knowledge of what exists in the community, how to access it, what insurance covers, and how to move a plan from paper to implementation inside a compressed timeline. That operational func...

Kayla Bonkowski | The Dog Nobody Wanted and What She Teaches Us

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Every rescue has animals that get passed over. Working with those animals teaches something about patience that easier placements cannot. Every rescue organization has them: the animals that do not move. They have been available for weeks, sometimes months. They have a history that makes adopters hesitate. They present behaviors in the adoption environment that cause people to walk past. Kayla Bonkowski fosters and rescues dogs in Sterling Heights, Michigan. She holds a Cum Laude psychology degree from Rochester College and is completing her MSW with a focus on hospice and palliative care. She has worked with easy placements and difficult ones. The difficult ones have been more instructive. The animal that nobody wanted requires a specific kind of attention. Not more intense. More patient. Not more frequent contact. More consistent presence at the same low level of pressure, repeated across enough time for the animal to update its model of what the world is like. A dog that has experi...

Kayla Bonkowski | Why Social Work Is a Clinical Discipline -- Not Just a Helping Profession

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The helping profession label costs the field money, respect, and clinicians. It also misrepresents what licensed social workers actually do. The helping profession label has followed social work for decades. It describes a value orientation that social workers do hold. It also obscures what licensed clinical social workers actually are: clinicians, trained to a master's level, with supervised practice requirements and licensure examinations, authorized in most states to diagnose mental health conditions, provide psychotherapy, and bill independently. That gap between how the field is described and what it involves has material consequences. It affects compensation within healthcare systems. It affects caseloads, which are routinely higher than comparable clinical disciplines. It affects institutional investment in social work training and staffing. And it affects the patients and families who receive -- or do not receive -- adequate social work support as a result. Kayla Bonkowski ...

Kayla Bonkowski | What the Research Actually Says About Exercise and Mental Health

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The claim is repeated so often it has stopped meaning anything specific. The specific version is more useful. Say "exercise is good for mental health" and you have said something almost everyone agrees with and almost no one can use. The claim is too broad to guide anything. The research behind it is considerably more specific, and the specific version is what actually matters. Kayla Bonkowski holds a Cum Laude psychology degree from Rochester College and is completing her MSW in Sterling Heights, Michigan, with a focus on hospice and palliative care. She trains in CrossFit and has lost more than 70 pounds through consistent practice. She addresses this from both the academic literature and direct experience. The research is clearest for moderate-to-vigorous aerobic exercise, performed at least three times per week. That category includes CrossFit. Studies meeting that standard consistently show significant reductions in symptoms of clinical depression -- with effect sizes f...

Kayla Bonkowski | Why Grief Is Not a Disorder

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Grief was added to the DSM. The clinical community is still debating whether that was the right call. The distinction has real consequences for how bereaved people are helped. I n 2022, the Diagnostic and Statistical Manual of Mental Disorders added Prolonged Grief Disorder as a formal diagnosis. The criteria: persistent grief lasting more than twelve months after a death, producing significant distress or functional impairment. The intent was to identify bereaved people whose grief is genuinely pathological and provide a clinical pathway to treat it. The debate that followed has not settled. For the patients who will encounter hospice social workers, the distinction matters. Kayla Bonkowski holds a Cum Laude psychology degree from Rochester College and is completing her MSW in Sterling Heights, Michigan, with a focus on hospice and palliative care. Grief sits at the center of the work she is preparing for. Whether a particular grief is normal or disordered is not an academic question...

Kayla Bonkowski | What a Foster Dog's First Week Reveals About Resilience

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The first days of a foster placement are a disclosure process. What the animal reveals -- and what it cannot yet reveal -- says more about resilience than any behavioral assessment does. An animal arriving at a foster home for the first time is not showing its personality. It is showing its stress response. The two are not the same thing, and confusing them is one of the most common mistakes people make when they start fostering. Kayla Bonkowski fosters and rescues dogs in Sterling Heights, Michigan, alongside her MSW studies, CrossFit training, and raising her son. She holds a Cum Laude psychology degree from Rochester College. She has been doing this long enough to see the first-week pattern clearly: the animal the shelter sent is not the animal that will exist in seven days. The first 48 to 72 hours are a shutdown or an escalation, depending on the animal's history and temperament. Some go quiet. They find a place and stay in it, unresponsive, apparently disconnected. Some are ...