Duke was diagnosed with bipolar disorder in 1982, and since then has devoted much of her time to advocating and educating the public on mental health issues.
Despite the success of her career, Duke was deeply unhappy during her teenage years. Efforts were taken by the Rosses to portray her as a normal teenager, but Duke later indicated in her memoirs that she was a virtual prisoner of them and had little control over her own life and earnings. The Rosses kept control over Duke and her mother by allowing them only a small amount of money to survive on. The Rosses also began providing Duke with alcohol and prescription drugs when she was 13, which, along with her undiagnosed bipolar disorder, contributed to substance abuse problems she experienced throughout her young adult life. As an adult, Duke accused both John and Ethel Ross of sexual abuse. Upon turning 18, Duke legally became free of the Rosses, only to find that they had squandered most of her earnings.
She has said that it took years of therapy for her to recover repressed memories of the sexual abuse. And she hated "Patty" - yet the other cast members had no inkling of the misery that hid below the surface of the hard-working, talented child.
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