Gift Giving in Therapy: Why Psychologists Might be Uncomfortable with a Gift.
It may be natural to want to say thank you when someone has helped you through a difficult time. Many clients feel grateful for their psychologist’s support and may want to express this by giving a small gift. While the gesture usually comes from a place of kindness, gift giving in therapy can be more complicated than it seems.
At the Centre for Clinical Psychology, we value the trust and professionalism that sit at the heart of every therapeutic relationship. Maintaining clear boundaries helps protect both clients and psychologists — and ensures therapy stays focused on your wellbeing.
Why Psychologists May Not Be Able to Accept Gifts
Psychologists have ethical and professional responsibilities that guide how they work. These include avoiding situations where personal interests or feelings could influence — or appear to influence — the therapy process.
Even a small gift can create a conflict of interest, or make it look like the psychologist might be influenced by the gesture. For example, a psychologist might feel uncomfortable declining a gift, or a client might worry that their treatment could change depending on whether a gift is given or not. To avoid these kinds of misunderstandings, psychologists will discuss any offers of gifts openly with clients and to make decisions that protect the professional boundaries of the relationship.
Conflict of interest is so important it is written about in the Psychology Board of Australia’s Code of Conduct:
8.12 Conflict of Interest (Page18)
d. do not ask for or accept any inducement, gift or hospitality that could affect or be seen to affect the way you provide services for clients,
When Gifts May Be Acceptable
There are times when a small gesture, such as a handwritten card or something of very low value, may be appropriate — especially at the end of therapy. However, larger or more personal gifts are generally not accepted, as they can blur professional boundaries.
Cultural factors are also considered. In some cultures, gift giving is a traditional sign of respect or appreciation, and this will always be handled thoughtfully and respectfully.
As you might imagine, psychologists are “all about words”. Hence a handwritten card about your experience is often the best present a psychologist could receive.
Protecting the Therapeutic Relationship
Ultimately, psychologists have a duty to ensure that therapy remains a safe, supportive, and professional space for clients. Declining a gift is never a rejection of appreciation — it’s a way of protecting the integrity of the therapeutic relationship and keeping the focus where it belongs: on you and your wellbeing. If you’re ever unsure about gift giving, it’s completely fine to ask your psychologist how they handle it. They’ll be happy to explain their approach and the reasons
If you are interested in further discussions on your mental health, psychologists at the Centre for Clinical Psychology are here to help. You can get in contact with the clinic at (03) 9077 0122.
