Card or note expressing your gratitude for all her help. Don’t overdo it.
If it’s a relationship that’s lasted for several years, maybe add a bottle of wine if it’s likely to be appreciated. But I repeat - don’t overdo it.
Seriously, the best thing you can give her is a (brief!) note on how much she’s helped you. That’s something she can keep and re-read later to remind her that she’s good at her job.
I’m not a therapist, but I’ve gotten a couple of thank you notes from younger women whom I mentored at work in the past and I’ve read those notes over and over at times when I wonder if I’ve ever done anything worthwhile.
That is a great idea. That’s the kind of profession where you never know if you affected someone’s life in a lasting way or not. A note down the road (maybe a Christmas card, if that fits) would be lovely.
Hopefully, she helped you work through this issue.
That being said, if she is aware of that dilemma (or honestly, even if she’s not), I’d go for the “less is more” approach. A note thanking her for all her help and letting her know how grateful you are to her, and then maybe a follow-up around the end of the year, if you think that her advice and support are still helping.
My mother was a clinical therapist and occasionally got gifts from clients. As long as you are at the close of the therapeutic relationship, there is no harm in a SMALL gift. A short note, followed by another short note in the future as Tripolar suggests, is definitely the best. But if you want to accompany it by an inexpensive or hand-made memento of some sort, feel free. Just make sure it is nothing that creates any sense of obligation - for example, a hand-knit hat wouldn’t be a good idea because then there is pressure to wear it sometimes, even if the receiver doesn’t care for it.
(Writing this thread reminds me of how one client gave my mother cookies. They were terrible, and my dad had such a black sense of humor that his jokes made the cookies even less appetizing: “You don’t suppose she picked her nose while she was making them, do you? They taste a little salty to me.”)
So I’m seeing “counselor” … and then I’m seeing “the help that I received” … so you’ve already given her the greatest gift possible … success … everyday you use this help, you pile on the gifting … your successes become her successes …
A quick sincere note telling her you know this is fine …
Write a thank you note with a very specific example of how she has helped you.
And it doesn’t have to be right now. Maybe a month or two from now.
For example:
if you were getting help from her to help you, say, overcome shyness.
When an incident happens next month that you handle better because of her help…that’s when you write her the thank you note.
This and the others like it is the best advice. I work with people in this profession and I think everyone of them would say this is the best gift they can ever receive.
But, if you feel you need to do more, perhaps pay it forward. There are many peer programs that exist for those who have experienced behavioral health issues to assist others. These can be volunteer or paid positions, and training requirements vary from place to place. If one day you feel you are in place in your life that you can assist others, give this a thought. Then let the counselor know.