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What is the nature of the gift and why do you feel the need to give it?
If it's a gift that the parents wouldn't approve of, I wouldn't.
Depends on the age of the kid, the nature of the gift, the reason for treatment, the treatment setting, the intention behind it, and whether the minor is mandated for treatment or not. If you don't feel safe explaining the gift to the parents, it's probably a good indicator that you are interfering with parental autonomy, and allowing your values to override theirs.
I would personally ask the parents permission first…especially if it’s potentially problematic…which it obviously was. 😬
If your child is 12+ in CA, where I practice, I don't even need parental permission to treat the child; though, of course, this isn't the best situation.