A man and woman have sex on the floor. The man's backside is seen thrusting into the woman, whose breasts are briefly seen.

Would have been definitely rated NC-17 "for some graphic nudity involving minors" by the MPAA if submitted.

A young girl, about 7, is seen entirely nude. Her labia, buttocks, and nipples are all clearly visible. This is done in an innocent way. Her sister and herself are swimming in a lake.

A young girl, about 10, draws fake breasts on her bare chest while looking in a mirror.

A 10 year old girl's chest is seen while skinny dipping.

A man's butt is seen.

Events throughout the movie, and especially the end, are intensely sad and depressing.

Attempts by a child to deal with her mother's mental illness are heart-rending.