When you're out of your head on drugs, alcohol and god only knows what, your mind gets so messed up that offers of help become threats. Those who would help are often seen by the victim as trying to control them or intending to harm them in some way.
On the other side of the coin are those whose own fortune is wrapped up in that of the person they purport to 'manage', 'care' for, promote or even love. Just as long as their source of income continues, they are only too happy for her/him to create as much publicity as possible, good or bad. There is, after all, no such thing as bad publicity.