I think a therapy gift should be thought about carefully.

With the example of jewelry, would you be okay if you gave it to her, and she gave it back? What if she accepted it and you never saw her wear it? What if she accepted it, and she wore it every single time you saw her? What if she put it on her bookshelf for display? What if she did something weird with it?

I'd be most upset if she wore it every single time I saw her. I'd assume she was trying to placate me.

I read somewhere that therapists dread getting gifts from clients because they don't know what the expectations are. It's like pinning them in a corner and forcing them to wile their way out with the least amount of carnage.