I think the essence of gift-giving -- to therapists or to anyone -- is that the gift becomes the property of the recipient, who can use, enjoy, display, dislike, or discard in whatever fashion they deem fit. I feel great satisfaction when somebody treasures a gift I have given them because it means that the effort and thought I put into the gift are understood and appreciated. But I wouldn't want my T (or anybody) to feel obligated to keep or display something if they didn't want to, and that includes handmade items like art.