The entire film has a heavy theme of sexual abuse/trauma with the main character. There are lots of talk that alludes to previous abuse or inappropriate behavior from the various foster homes she has been to and there are a few scenes throughout the movie where it shows either explicit unwanted advances from other characters, or her perception of the advances due to hallucinations from LSD. Her most recent foster father has a couple scenes that are heavily hinting at his sexual desire and need for her; there is one scene where he tries to coerce her into a sexual act when she comes home late, though she attacks him instead. In one scene, she is having consensual sex, and the man starts getting rough and choking her. She says she is into it, it just seems questionable whether she truly is or not. Overall it does depict the consequences of years of childhood sexual abuse pretty well, so it was portrayed accurately. It is very intense at times.