Full rear nudity of an older teen male in a shower is seen for a while. Men's chests are seen briefly a couple of times. An unclothed male infant is seen from the front as he is dipped into a bath during a baptism. A boy is seen for a minute or so in his underpants trying on clothes. There's no female nudity.

An older teen male survives by prostituting himself to much older men. We only see him meeting the men or exiting hotel rooms. He converses frankly with 10-year-old Mischa about this and shows the boy cell-phone pics of the sexual activity (but we don't see them, and the strongest language we hear is "tits.")

Mischa is shown covering his ears when we hear the subdued grunting of his mother and step-father having sex.

An old video of a children's TV show talks about a child being unwilling to part with his mother and attributes it to an Oedipal complex.

Guns and gun violence play a major role in the film. There are several long guns and pistols displayed prominently on a wall. A mounted wolf head has a visible bullet hole. Ten-year-old Mischa's step-father places a pistol in his hand and "helps" him shoot at the ceiling. (This follows a rant by the step-father about ancient Spartans being taken from their families at age seven for military training). We learn that the child was taken to a shooting range; it's implied that he fired the weapons there.

Two people plot to kill someone with a pistol and make it look like a suicide.

A person grabs a gun that someone else is holding and gets shot in the abdomen. We see some blood on a towel wrapped around the waist.

We see a person starting to drown someone else in a bathtub.

A character punishes a child by repeatedly striking his hand with a stick.

As English subtitled on VUDU, there's one "bullsh*t" and one "faggot".

Adults and older teens are shown smoking several times; it's not emphasized. They also drink but aren't shown over-indulging. Other drugs are not evident.

Throughout much of the movie, Mischa's step-father Mr. Nikos behaves toward Mischa and his mother in a domineering way, trying to control every aspect of their lives and bordering on threat and abuse.