I think it's ridiculous that a T wouldn't accept a small gift that someone gives from the heart. I work in a corporate environment with clients, and extravagent gifts are a no-no. Typically anything in excess of $50, but small gifts are okay. Personally, I believe that any T that turns down a card or other modest token of appreciation in the name of boundaries is an *****. While I think reasonable boundaries are necessary from a T's perspective, making a big BOUNDARIES! deal about nonsense is really counter-productive for client-therapist relationships. Take the gift and say thanks like any other person in the world (professional or not!) would do. Good grief!

I have given my T a gift or two. Nothing of material value or mixed meaning or romantic in nature. T graciously accepted. I'd really re-consider my relationship with him if he'd reacted in a rejecting way, or shamed me.