Well, maybe you don't have to ask him right away. When I started my cross stitch it was like 2-3 months before I talked to her about it. While I was working on it and not sure if I would even have the guts to give it to her or if she'd take it I decided to have the attitude of "this work of art is dedicated to T" so even if I never mentioned it and kept it for myself I was still able to pour out all of the love and gratitude it was meant to express into it. Kind of like when someone dedicates a book to someone. I really needed a physical way to get all of those feelings out especially since I was barely able to acknowledge them in her presence. (I still didn't know what transference was then, I was afraid I was getting obsessed or something.) Anyway, I am glad I took the plunge and asked her and of course I am glad she accepted it but just the act of creating something that had a lot of meaning to me was very (dare I say it?) therapeutic.

So make it and give yourself the freedom to give or not give. Enjoy the creative process for a while without the pressure of his possible response. Plus you can always save it and give it to him on your last day of therapy (I know, in like a 100 years from now) but I bet he wouldn't refuse it then.