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This course explores the ethical complexities surrounding the giving and receiving of gifts within therapeutic relationships. Clinicians will examine professional boundaries, ethical guidelines, and potential impacts on the therapeutic alliance when navigating gift-related situations. The training will address how to assess the intent, timing, and meaning of gifts, and offer best practices for decision-making rooted in ethical principles and clinical judgment. Participants will engage in reflective examination of their own cultural values, beliefs, and professional roles, while considering the diverse cultural norms and practices of clients. Through discussion and case analysis, this course fosters ethical awareness and culturally sensitive approaches to managing gift-related dilemmas in therapy.

Upon completion of this training, participants will be able to

  • Identify ethical and therapeutic issues of gift giving and receiving in mental health practice.
  • Explain at least three key ethical and practice considerations around gift giving in practice.
  • Discover and consider variables related to culture, therapeutic relationships, and countertransference as they relate to gifts.

Syllabus:

Objective #1: Identify ethical and therapeutic issues of gift giving and receiving in mental health practice.

  • Opening case example: Cleo
  • Self-Assessment exercise: Gifts in therapy
  • The meaning of gifts
  • Themes of gifts in therapy

Objective #2: Discover and consider variables related to culture, therapeutic relationships, and countertransference as they relate to gifts.

  • Case vignette: cultural implications
  • Exploring cultural perspectives
  • Practice question exercise

Objective #3: Explain at least three key ethical and practice considerations around gift giving in practice.

  • Ethical perspectives
  • An ethical continuum
  • Ethical considerations
  • Informed consent
  • When accepting a gift would be unethical
  • Transparency, documentation
  • Knox. Hess, Williams & Hill research findings
  • Typical therapist to client gifts
  • Key considerations in receiving gifts from clients
  • Script examples
  • Special considerations
  • Case example: Problematic gift
  • Three brief case studies
  • Closing Q&A, resources review

Social workers completing this course receive 3 Ethics asynchronous continuing education credits.

For other board approvals, this course qualifies for 3 Ethics continuing education training.

Instructor: Diane Bigler, LCSW, LSCSW

Recording Date: May 16, 2026


CEUS On-Demand, LLC, provider #2274, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/7/2025 - 08/6/2026. Social workers completing this course receive 3hrs Ethics continuing education credits.  

CEUs On-Demand, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7091. Programs that do not qualify for NBCC credit are clearly identified. CEUs On-Demand, LLC is solely responsible for all aspects of the programs.

System Requirements: Firefox, Chrome, Brave, Safari, Edge on any modern operating system (Windows, MacOS, Linux, Android, iOS). A desktop browser is recommended. We do not provide support resources for issues encountered using a mobile device.

Request for Special Accommodations: Learners can request special accommodations by contacting the administrative team at admin@ceus-ondemand.com


Course Instructor: Diane Bigler, LCSW, LSCSW, is a Licensed Clinical Social Worker in Missouri and Kansas with over 25 years of experience in the mental health field. She has held clinical positions as an outpatient and in-home therapist, and clinical supervisor. Diane was an Adjunct Professor of Social Work for 10 years at The University of Kansas, School of Social Welfare, and a Field Liaison and Field Instructor. She has also held administrative positions as a Program Director and Coordinator. Diane is a popular local and national trainer on a wide variety of mental health and workplace development topics for clinicians and corporations. Diane is most passionate about providing quality professional development to clinicians, employees, and leaders.

Course Content

Exploring the Ethics of Gifts in Therapeutic Relationships
Online Training Evaluation For Asynchronous