I just had my first anniversary the other month. We don't have kids yet, but our neighbor has a child with similar needs as yours, so can totally understand where you're coming from there.
I personally just found a website (Hell maybe even wikipedia) that listed what type of gift you're supposed to give each year. First year was paper so I drew a big A3 picture and framed it for her, even though everyone knows I'm the worlds worst drawer, but she loved it.
Someone up above mentioned 5yrs is wood. Outside of the highly obvious sexual joke to be had, I'd try and either carve something, or go down that line if you can.
16 Team, 50 Player Capped ($75m) Keeper (Overall Fantasy Points). 12F, 6D, 1G Active
Scoring - G, A, PPG/A, +/-, SHG/A, W, SO, (GA bonus's)
F - T. Johnson, Galchenyuk, Nyquist, A. Lee, Radulov, Nelson, Neal, Sharp, Atkinson, Ribeiro, Ryan, Staal, (Donskoi, Eller, Colbourne, Vermette, Rodin)
D - Burns, Klingberg, Gohstisbehere, Weber, Parayko, Braun
G - Allen (Luongo)
Farm
F - Mantha, Wilson, Fast, Tolchinsky, Bracco, Merkley, Malgin, Novak, N. Paul, K. Roy, Maroon, Laughton, Lindberg
D - DeAngelo, Sproul, Clendening, Trouba, Weircioch