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I agree with SlumberKitty. A card that thanks them for their services and their ongoing professional care throughout the years would suffice. Sometimes a small gift that is $10 or under is okay, too, such as a keepsake coffee mug with a physician's logo on it (since your Pdoc holds an MD), or even one with a psychology symbol, or maybe even one with both, if it's not too costly. Sometimes patients spend more money on gifts, but it depends on the context, the boundaries between client and Pdoc, etc.
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