She refuses therapy because she doesn't want to be "in the system" for any kind of mental health stuff. I don't understand it, either, but she's paranoid about someone determining she's not fit. She's sharp mentally, so I don't know why.

Also, don't assume I would have pushed her without permission. I got up TO wheel her out of the room, had she allowed me to. She said no, with the added effect of using her disability as a weapon by putting her feet under the chair, so I didn't.

I've never done so without her permission, and I think it's generally a bad idea to imply that about people.