There are a few lesbian scenes with different couples. First just kissing.

Second in bed they remove some clothes, breasts are seen briefly, oral sex is strongly implied but not shown.

Later the second couple is shown waking up in bed. Breasts seen again briefly with some kissing.

Alex has marks on her arm from cutting herself.

"Bitch," "ass," and "s--t" (many times).

Alex smokes. Guests drink at a party, and Alex has a beer. Kathy and Alex get drunk on vodka. Nina and her girlfriend drink champagne. Alex steals prescription pills and trades them for weed, which she then smokes.