I didn't think it was necessarily an "unrealistic portrayal", but I was a little surprised by how heavy handed some aspects of the plot were.
For instance, when they are desperate for drug money and go into the bar, where they see their old classmate being interviewed on tv, talking about how he is on the way to playing college basketball next year. I understand what they were trying to say by putting this in the film, but, as I said before, it came across a little "heavy handed". Same goes for when they run into Juliette Lewis's character early in the film, when she is clearly has a deep habit. Then later on, the tables turn and she appears clean, and DiCaprio's character is now begging her for cash. Not much subtlety.
It seemed while watching this that a lot of effort was put into including the harrowing scenes showing the downfall from heroin, like the detoxing sequences and the part where he goes back to his mothers house (which I think were undeniably well acted), whereas a lot of the action around it was brushed over quite quickly.
Just my humble opinion. I still found the movie pretty good overall.
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