From things you've shared about your therapist, cinnamonstick, I'm guessing it's a safe bet she'll accept your gift. I would just give it to her, tell her it's handmade and that you were looking for a way to show your thanks in a way that's meaningful to you (or whatever it is that the bracelet gift represents to you). Jewelry is pretty personal, so that's why I'd frame it in a less intimate way.

In reading elsewhere about gifts to clients, it seems that the issue therapists have with gifts comes from clients who use them as a way to further a fantasy relationship, to get closer and who might feel entitled to more from a therapist than what they can do in the therapy setting. For some, it fuels an obsession. I would think that a therapist can gauge whether or not it will be a problem for the individual and their therapy.

I haven't given my therapist a gift and so far haven't felt the need to. I show appreciation in other ways (I think), by getting the most that I can out of therapy. In the end, I do think that's what matters to them (well, most of them I would hope). I think you can trust your gut on this one in terms of your therapist.