Hayworth struggled with alcohol throughout her life. Her daughter Yasmin Aga Khan said,
"I remember as a child that she had a drinking problem. She had difficulty coping with the ups and downs of the business ... As a child, I thought, 'She has a drinking problem and she's an alcoholic.' That was very clear and I thought, 'Well, there's not much I can do. I can just, sort of, stand by and watch.' It's very difficult, seeing your mother, going through her emotional problems and drinking and then behaving in that manner ... Her condition became quite bad. It worsened and she did have an alcoholic breakdown and landed in the hospital."
In 1972, Hayworth was 54 years old and wanted to retire from acting, but she needed money so signed up for “The Wrath of God”. The experience exposed her poor health and worsening mental state. As she could not remember lines, they filmed her scenes one line at a time.
The following year Hayworth agreed to do one more movie, “Tales That Witness Madness”. Due to worse health, she abandoned the movie set, and returned to the United States. She never returned to acting.
In March 1974, both her brothers died within a week of each other, which caused her great sadness and led to heavy drinking. In 1976 at London's Heathrow Airport, Hayworth was removed from a TWA flight after having an angry outburst while traveling with her agent. "Miss Hayworth had been drinking when she boarded the plane," revealed a TWA flight attendant, "and had several free drinks during the flight." The event attracted much negative publicity; a disturbing photograph was published in newspapers.
Hayworth's alcoholism hid symptoms of what was eventually understood to be Alzheimer's disease. "For several years in the 1970s, she had been misdiagnosed as an alcoholic."
"It was the outbursts," said her daughter, "She'd fly into a rage. I can't tell you. I thought it was alcoholism-alcoholic dementia. We all thought that. The papers picked that up, of course. You can't imagine the relief just in getting a diagnosis. We had a name at last, Alzheimer's! Of course, that didn't really come until the last seven or eight years. She wasn't diagnosed as having Alzheimer's until 1980. There were two decades of hell before that."
In July 1981, Hayworth's health had deteriorated to the point where a judge in Los Angeles Superior Court ruled that she should be placed under the care of her daughter, Princess Yasmin Khan of New York City. Hayworth lived in an apartment at The San Remo on Central Park West next to her daughter, who arranged for care for her mother through her final years.
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