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Gift-giving can signal appreciation, unmet needs, or an attempt—conscious or not—to influence the relationship. Ethical practice requires maintaining clear boundaries, avoiding conflicts of interest, and following agency policy. The first step is clinical: explore what the gift represents to the client (gratitude, cultural norm, desire for special status) and how it fits within the therapeutic frame. The next step is ethical/administrative: consult the organization’s policy, which typically prohibits accepting substantial gifts due to risks of favoritism, exploitation, or the appearance of impropriety. Declining respectfully while acknowledging the client’s intent preserves dignity and the alliance. Document the conversation, the policy basis, clinical impressions, supervision/consultation if sought, and the resolution. Option A ignores boundary and policy concerns. Option B still accepts a valuable gift and creates appearance issues even if redirected. Option D is disproportionate; termination is not indicated unless patterns of coercion, safety risks, or unresolvable boundary violations occur. Therefore, a balanced approach—clinical exploration, policy-aligned decline, and thorough documentation—is the best practice.