With Evie, Jim and I have found there are times (like the other day) when pushing her is beneficial, as she is simply being stubborn or not motivated to help herself, and needs a bit of coaxing or reminding. However, there are other times when she is truly ill and needs time to herself, rest and so on, and we do not push her then. Usually if she truly needs time to herself, she will ask for it, which is quite helpful to us. Other than her requests, we have learned through trial and error when it is right to push her and when it isn't. It is highly individual and one needs to be in tune with the habits and personality of their sufferer. It took us a year of living day to day with Evie and much honest communication, to reach the point which we now enjoy, whereby we typically know when to push and when not to.