what i got from the ending...
Were debating is it pro pills? or against pills? I think its this... It's pretty nihilistic in a sense that the statement could've just been that, well you're not ever gonna change because your pain is who you are, but pills are at least gonna cover that up enough to make you go on with life. Pretty much saying you're screwed if you don't and you're still kinda screwed if you do but at least you won't annoy people around you and you'll make your parents proud! It's like saying, no amount of therapy could help a person like her. This movie is grim if you think about it...
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