The film features Dr. Elaine Keener, a lesbian character whose internal struggles with loneliness and desire for connection are explored with dignity and empathy. Her hidden identity is central to her complex character arc, and the narrative respectfully affirms the worth of her emotional life and search for love.

The film includes a transsexual character, Lily, whose identity is revealed and handled with sensitivity and empathy. The portrayal focuses on her humanity and the compassionate bond she forms with another woman, avoiding negative stereotypes or ridicule, thus offering a supportive depiction.

The film portrays Dr. Keener's Catholic faith as a genuine and positive force in her life, providing her with strength, comfort, and a moral framework as she navigates personal and professional challenges. Her devotion is depicted with respect and nuance, not as a subject of ridicule or critique.