There's a scene of a young man and woman visibly having sex, with bodies rising and breathing hard. No nudity.

At one point while a woman is waitressing, a man revoltingly walks up to her and licks her neck.

When a woman visits a website created by and for people with severe eating disorders, she finds a picture of a grotesquely skinny woman, with a tiny upper body completely undressed.

It's revealed later that the mother in the family is having an affair.

None

There are some crude word usages and very upsetting verbal content about the trauma of eating disorders

A young woman takes a lethal overdose. We see her lying unconscious afterwards and the panic and sorrow of her family.

There's no violence, but definitely intense scenes and subject matter. There are many troubling aspects of the two sisters' ideas of their bodies; Frannie sleeps with guys she doesn't know very well and berates herself harshly for eating badly. Shelly wanders through a great deal of the film with sullen, dark eyes and an overly skinny body, sometimes binge eating and then violently vomiting.

When Shelly goes to a psychiatric ward for food issues, several other mentally challenged and troubled girls are there. One thin, rude and intense-looking woman who's visibly had a rough life is revealed to be in her early thirties (she looks like a mistreated twenty-something); she, and some of the other women, speak in ways that reveal them to be mentally absent. At one point Frannie goes to a severely disturbing website that viciously feeds on the mental trauma of anorexic people; the site shows disturbing images and comments from very sick people ("we are pigs fasting", "I want to be the skeleton in my doctor's closet", etc).

**SPOILERS** One of the most troubling scenes shows Frannie and her parents find Shelly dying on her bed from a drug overdose. The doctors tell them she can never be revived and the family's pain is palpable *END SPOILERS*

While this film is not a tragedy, there are very serious issues covered. I'd give it a PG-13 rating overall.