Understanding comes before completely appreciating this film. Realistic is every way, wrenching, distressing and hopeless is this portrayal of mental illness that so many families try to deal with. Acting by all is superb and one really cares instantly for all characters. It was a sad privilege to witness this gentle and compassionate view into a tormented mind. This is the daily torture of some with major depression, borderline personality disorder, bipolar disorder or schizophrenia. If you have not experienced it in your family it is incomprehensible to most people but it is truly portrayed in this film at every turn. How depression and suicide affects the family,the inability to help, threatening behavior, self-hatred and self-harm, self delusion,ECT, genetics and trauma are all spoken with crystal clarity. One of the very few films to get it completely right by all concerned. Hard but marvelous in its truth. I thank the makers of this film for presenting the public with the truth. The ending was perfect. No thread was dropped.