Sean Astin: My Mom, Patty Duke, and Bipolar Disorder

Last Updated: 5 Dec 2020

Actor Sean Astin shares how he was affected by his famous mother’s bipolar depression and rage attacks—but also her inspiring personality and boundless love.

Actor Sean Astin strides onstage and bursts into the theme song from the 1960s TV sitcom The Patty Duke Show. The crowd responds warmly with applause and appreciative laughter.

“My daughters hate when I sing—especially in public,” Astin confesses, a broad smile on his face.

This may seem an odd way to greet the 600 guests attending a benefit for East House, a mental health agency in Rochester, New York. But the audience is in on the joke: They know Astin is the eldest son of famous actress Patty Duke, who starred as look-alike teenage cousins in the show bearing her name.

Duke was just 16 when her sitcom debuted in September 1963. Earlier that year, she became the youngest person to win an Academy Award—best supporting actress, for her performance as Helen Keller in The Miracle Worker. She was even younger when she originated the role on Broadway two years earlier.

Acting is part of the legacy both Astin and his younger brother, Mackenzie Astin, inherited from their mom. Like her, both boys started as child actors. Mackenzie’s career path took him towards television (The Facts of Life, Scandal, The Magicians). While Sean is no stranger to TV, he’s probably best known for his work in films, notably Goonies, Rudy (as the title character) and the Lord of the Rings trilogy (as hobbit Samwise Gamgee).

Sean Astin is also following in his mother’s footsteps as a mental health advocate, speaking out about the challenges and the importance of getting help. He tries to encourage compassion for those living with psychiatric disorders—and self-compassion for those who share the journey.

It’s hard to overstate the groundbreaking impact when Duke revealed her bipolar diagnosis in her 1987 memoir Call Me Anna. She retold her recovery story on TV talk shows and elsewhere, exploiting her fame to help others. She eventually became an activist, lobbying Congress for more attention and funding for mental health issues.

Astin considers his mother a “foot soldier” in the struggle to raise awareness and reduce stigma.

“The fact she talked about it openly was really helpful,” says Astin, noting the individuals who approach him to talk about how Duke saved their life.

On Patty Duke’s Moods

In interviews and appearances, Astin talks candidly about growing up with a mother buffeted by symptoms of undiagnosed bipolar disorder

Like many with bipolar I, Duke spent more time in depression than mania, Astin says. Incapacitating sadness could be triggered by the rhythms of life, such as travel or changes in the weather. 

When Duke was diagnosed in 1982 and began working toward stability, Astin was 11. Now 48, he is able to look back with a more knowledgeable and mature perspective. 

He describes his childhood as largely a happy one, “except for a few terrible episodes”—like the dark day his mom took an overdose of pills in front of Astin and his brother.  As a boy, Astin saw the action as manipulative. In retrospect, he realizes it was a cry for help. 

The closeness the family shared was a salve for the rougher patches. 

“We were able to express our deepest feelings to one another,” he says. “We would offer positive words, try to listen, to understand. Our family, we are experts in forgiveness.”

Astin was actually raised by two celebrities: John Astin, his adoptive father, played Gomez in the original 1960s TV version of The Addams Family. His parents weren’t interested in the rich-and-famous lifestyle, however. Sean recalls carefree California days roaming around on his bicycle and bringing friends home with no notice. He says his dad emphasized the importance of doing well academically, while his mom modeled and encouraged professionalism in acting endeavors.

Duke’s emotional extremes upset their usual family dynamic. Astin says at those times, he sometimes felt like he was playing the parent and Duke, the child. For example, when his parents fought, the actress would look to her young sons for sympathy and support.

“We felt sorry for her. It was like watching a little kid act out,” Astin recalls.

There were times Duke would try to explain what she was experiencing. 

“She would sit us on the couch, begging us to understand … that she had a physical hurt in her chest,” says Astin. “‘It’s indescribable,’ she would say. ‘Help me.’ That was my training in empathy.”

Sean Astin on Compassion and Understanding

Still, such episodes were hard on Astin. It wasn’t until he was married and established in his own home that he felt safe to begin fully processing his childhood. 

“Then all the rage and resentment I never expressed started coming out,” he recalls. “When you interact with someone who is suffering, you need mind-numbing patience. You end up sublimating your own feelings until it feels safe to express them.” 

Even as a boy, Astin says, he recognized he was not responsible for Duke’s angry outbursts and low moods. 

“I could see that the problems were hers—that I had done nothing wrong.” 

Astin tells audiences he wishes he could have had done more to help his mother, but he realized it was equally important to protect himself.

“You have a right to feel safe and to live your life free from pain,” he says. “Compassion for a loved one who is suffering does not mean sacrificing your own health and happiness.”

To her credit, Duke not only accepted her diagnosis, “she loved the diagnosis because it gave a reason to explain her [erratic] behavior,” Astin explains in an interview on the podcast Inside of You with Michael Rosenbaum.

She adhered to a wellness plan that included medication and psychotherapy, and worked hard to repair relationships that were subject to bipolar disruptions—“atoning for anyone she ever hurt,” is how Astin puts it. 

But stability is an elusive goal. Astin recalls his occasional bemusement as a teen: “When you’re in her house and close the door and she’d still freak out because her food order was wrong, you’d be like, “Where’s the maven of mental health at this moment?’”

Patty Duke, Bipolar & Good Memories

With the distance of years, though, Astin mainly remembers the good times. He says that despite Duke’s emotional volatility, she was a warm and loving mother.

“Her capacity to love was limitless,” says Astin. “She offered unending kindness, support and generosity. No matter how dark things got, she loved us. It was an incalculable gift from God.”

It was a gift passed to the next generation, he adds: “My three daughters now talk a lot about Nana.” 

To Astin, his mother was a larger-than-life figure: intense, fascinating, able to forge strong connections, fierce against injustice. He also admires her strength and endurance in the face of bipolar: “She suffered like Job, but she also lived. She spoke, wrote, acted and traveled.” 

By 1980, Duke had three Emmy Awards and two Golden Globe Awards to go with her Oscar. In 1985, she became the second woman elected president of the Screen Actors Guild, a post she held until 1988. She also advocated for gay rights and civil rights.

As Duke entered her 50s, she embraced a quieter life, moving to a farmhouse in Idaho with her fourth and longtime husband, Michael Pearce, whom she married in 1986.

“She designed a life that reinforced her wellness,” Astin says. 

Patty Duke died in 2016, at age 69, from sepsis. Mother and son remained close to the end.

 “I loved her,” says Astin simply. “I never stopped loving her.” 

Printed as “My Story: My mom, Patty Duke,” Winter 2020

About the author
Donna Jackel specializes in mental health, animal welfare and social justice issues. She earned a bachelors degree in journalism at the S.I. Newhouse School of Public Communications at Syracuse University. For 15 years, Donna was a staff reporter at the Democrat and Chronicle, a daily newspaper in Rochester, NY, where she still lives. As a freelancer, in addition to contributing to bp Magazine and esperanza, Donna’s work has appeared in ReWire, The Progressive, Lilith, Texas Monthly, Yes! Magazine, The Chicago Tribune, Bark Magazine, CityLab, Leap Magazine and other national publications. A story Donna wrote about her mother’s (Marie Rogers) service in the British Air Force during World War II was included in the antholog, Before They Were Our Mothers: Voices of Women Board Before Rosie Started Riveting (copyright 2017). In 2019, Donna won an honorable mention in health writing from the American Society of Journalists & Authors for a feature story she wrote for The Progressive about college students who were denied transgender hormone therapy. When Donna isn’t working, she can be found hanging out with her Lab, Bear, horseback riding or catching a movie at the Little Theatre. Her work can be seen at
  1. I’m looking at her son and recognise him from his work .. both references bring back memories and smiles .. I’ll be doing some more research and reading .. I’m a carer .. and find it inspiring seeing others points of view on how they deal with their loved ones and their perspective xx

  2. Thank you for this wonderful article. I was very moved and aware of Patty Duke’s movies, then books I have read. I was diagnosed in 1979, finding out I had Bipolar1. She definitely was an inspiration to me. Referring to her as a “foot soldier.” at the time could not be any more appropriate!
    Maureen Theresa

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