Although Rivendell was not officially affiliated with The Church of Jesus Christ of Latter-day Saints, Duff later said that she was visited by Mormon missionaries during her six months at the Utah psychiatric facility and that the treatment she received was heavily influenced by religion. Duff says that Rivendell therapists told her that a gay and lesbian orientation was caused by negative experiences with people of the opposite gender and that having a lesbian sexual identity would lead to sexually abusing other people or engaging in bestiality. Duff was diagnosed with Gender Identity Disorder (GID) and clinical depression. Duff was subjected to a regimen of conversion therapy. This involved aversion therapy, which consisted of being forced to watch same-sex pornography while smelling ammonia. She was also subjected to hypnosis, psychotropic drugs, solitary confinement, and therapeutic messages linking lesbian sex with "the pits of hell". Behavior modification techniques were also used, including requiring girls to wear dresses, unreasonable forms of punishment for small infractions similar to hazing like having to cut the lawn with small scissors and scrubbing floors with a toothbrush, and "positive peer pressure" group sessions in which patients demeaned and belittled each other for both real and perceived inadequacies.