I gave my last T, a woman, a card and a small gift for Christmas. She seemed touched and appreciative. I have never given my current T, a man, any gift, but he would probably accept a card if I decided to give him one. I have decided not to, though, because I sometimes struggle with the nature of our relationship, and giving him a card might blur the lines a bit for me, not for him. Most therapists would probably be just fine with accepting a card of appreciation at the holidays.