Bearse grew up in Winter Park, Florida. After she graduated from Winter Park High School in 1976, her family moved to Atlanta. She attended Rollins College, Birmingham Southern College and Young Harris College, where she received an associate of arts degree. Bearse studied acting at New York City's Neighborhood Playhouse under instructor Sanford Meisner.
Bearse made her television debut playing the role of Amanda Cousins in the ABC daytime soap opera All My Children from 1982 to 1983. The following year, she had small role in the comedy film Protocol starring Goldie Hawn, and later landed a role in the sex comedy Fraternity Vacation. In 1985, Bearse played the female leading role in the supernatural horror film Fright Night. She returned to television with guest-starring role in the ABC drama series, Hotel in 1986. The following year, she was cast as Marcy Rhoades (later Marcy D'Arcy), the feminist next-door neighbor in the Fox sitcom Married... with Children opposite Ed O'Neill and Katey Sagal. The series ran to 1997; becoming one of the longest running sitcoms in television history.
Bearse studied directing at the American Film Institute and the University of Southern California. She began directing television while appearing on Married...with Children, and from 1991 to 1997, she directed 31 episodes of the show. She also directed episodes of Reba, Mad TV, Nick Freno: Licensed Teacher, Malcolm & Eddie, Pauly, The Tom Show, The Jamie Foxx Show, Dharma & Greg, Veronica's Closet, Two Guys, a Girl and a Pizza Place, Jesse (1999; starring her Married...with Children costar Christina Applegate), Jessie (2011), and Ladies Man. In 2005, she directed The Sperm Donor, a pilot for NBC starring Maggie Wheeler. In 2006, Bearse teamed with Rosie O'Donnell to produce and direct The Big Gay Sketch Show, which debuted on Logo on April 24, 2007.

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