Families can sustain you, but they can also be so dysfunctional that they're not healthy. Secrets are destructive, and the truth usually comes out anyway.
Several intense arguments among family members, most instigated by cruel goading from their bitter matriarch. Some escalate into screaming fights and at one point the adult daughter tries to wrestle the mother to the ground to take a bottle of pills from her hands. A man is assaulted with a frying pan as he attempts to seduce a young teenage girl.
Several references to sexual relationships, including adultery and incest. A middle-aged man attempts to seduce a 14-year-old girl, isolating her and trying to kiss her. Three adult sisters have an entire conversation about the best term to use to refer to their mother's vagina.
Plenty of swearing all through the film, including "Goddamn," "s--t," "bitch," "c--t," "---hole," numerous variations of "f--k," and many other creative uses of profanity.
One character drives a red Ferrari convertible.
A main character is addicted to prescription drugs and pops pills through much of the film. Her husband is a long-time alcoholic. Other characters smoke cigarettes and drink socially in several scenes. A middle-aged man discusses his desire to smoke pot and later shares a joint with a teenage girl. Several types of medications are mentioned by name, including Valium, OxyContin, Percoset, Dilaudid, Xanax and more.