I usually don't because it is pretty mushy what they are allowed to accept. Last year I put a bunch of really beautiful broken seashells in a little vial and attached a note that said "thank you for helping me find beauty in brokenness". I then shoved it at him as I walked out the door, calling behind me "you'll need to shake it a little, you'll see". I think it meant something to him b/c he has kept it on a shelf by his desk ever since.

My pdoc has various little things people have given her over the years, especially during her cancer treatment. Several peanuts psychiatry things and a lot of those angels of ____ figurines. she practically has a full collection of those. I need to do the seashell thing for her too (I bought a jar and never did it b/c I got sick) but it's harder because it has to be a different time of year as she is Jewish so the throwing the Christmas gift as I leave at her thing is out. But maybe as a thank you when we get through whatever treatment we wind up doing in a month.

At least where I go though it is unusual to give anything to therapists beyond maybe a card, to the best of my knowledge. They used to do this thing where you could fill out a card for your therapist to be distributed at their Christmas party but they stopped that. My guess is that some therapists were getting fewer cards because of what they specialize in.

I want to do something for my therapist this year but I may wait until March and give him a thanks for 10 years of being patient present. That's probably more meaningful anyway.