I got my therapist a card and gift once. She was real big on the book "If you meet Buddha on the Road, Kill Him." In simplicity - it's basically about not making an idol of your therapist. Anyway, so one Christmas I got her a card, and a little Buddha desk statue. It was nice - I looked everywhere trying to find one that was small, not cartoonish, that would be appropriate. Anyway, so I gave that to her with a card where I wrote a simple note of appreciation. I think it can be awkward for therapists, because they worry about what it means to us to do that. But my therapist was gracious.