Is the weight loss real or CGI?

Lily Collins did lose a significant amount of weight for the role, which was controversial given her own history with eating disorders. While some digital effects may have been used to enhance the skeletal look, the physical transformation was real and supervised by nutritionists.

Does it have a happy ending?

It's not a 'happily ever after' situation. It's more of a 'hopeful beginning.' The movie ends with a moment of clarity and a decision to try, rather than a full recovery, which is more realistic but may be frustrating for some.

Is there a lot of swearing or sex?

There is some mature language and a brief, non-graphic romantic subplot, but the primary focus is entirely on the protagonist's internal struggle and her relationship with her family and fellow patients.

Can this movie actually cause an eating disorder?

While a movie can't 'give' someone an ED, it can absolutely trigger someone who is already vulnerable or provide ideas for behaviors. This is why it's categorized as high-risk for certain viewers.

To the Bone – WISE Score & Parent Review | Screenwise

To the Bone

Name: Screenwise
Author: Screenwise

movie2017

45%

WISE Score

A raw, polarizing look at anorexia that’s either a powerful conversation starter or a massive trigger, depending on who’s watching.

7.2

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To the Bone

movie

2017

45%

WISE Score

A raw, polarizing look at anorexia that’s either a powerful conversation starter or a massive trigger, depending on who’s watching.

7.2

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7.2

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Screenwise Verdict

To the Bone is a well-acted, sincere attempt to tackle a brutal subject, but it’s not for everyone. It intentionally leans into the 'ugly' side of anorexia, which makes it more honest than your average TV movie but also significantly more dangerous for viewers with a history of eating disorders.

If you're watching this with a teen, be prepared for a heavy post-game discussion. It’s less of a 'movie night' pick and more of a 'we need to talk about this' tool. It avoids the easy answers, which is its greatest strength and its most frustrating quality.

Age Fit

This is strictly for older teens (15+) and adults. The subject matter requires a level of emotional maturity to process without it becoming harmful, especially for anyone already struggling with body image.

WISE Breakdown

Wholesome

The film deals with heavy family dysfunction and a life-threatening illness. While it aims for healing, the journey is grim and the family dynamics are often toxic.

Imaginative

It stays firmly in the realm of grounded, indie-drama realism. It’s a character study rather than a creative or world-building exercise.

Safe

High risk for triggers. The film features graphic depictions of extreme thinness, calorie counting, and purging techniques that have been criticized for providing a 'how-to' for viewers with eating disorders.

Enriching

It offers a deeply empathetic look at the mental health struggle behind anorexia, moving past the 'sad girl' tropes to show the gritty, ugly reality of the disease.

Parent Info

✓

Why It Might Be Great

Authentic perspective from director Marti Noxon and star Lily Collins, both of whom have personal histories with eating disorders.
Keanu Reeves delivers a grounded performance as an unconventional doctor who skips the 'magical healer' tropes for a blunt, realistic approach.
De-glamorizes the illness by showing the physical toll, including hair loss, bruising, and the sheer exhaustion of the condition.
Strong ensemble cast that captures the messy, often frustrated reality of family members trying to help someone who isn't ready to be helped.

⚠

What to Watch For

The film features extreme weight loss visuals that can be deeply disturbing or potentially 'thinspirational' for vulnerable viewers.
Specific ED behaviors like excessive exercise, calorie math, and purging are shown in detail, which some experts argue can be instructional.
The ending is ambiguous and philosophical, which might feel unsatisfying if you're looking for a clear 'recovery' roadmap.

Conversation Starters

"Why do you think Ellen finds it so hard to accept help, even when she knows she's dying?"
"What did you think of the doctor’s 'tough love' approach versus the family’s approach?"
"How does social media influence the way we see our bodies compared to what we saw in the movie?"
"What does 'recovery' actually mean? Is it just eating, or is it something more?"

Deep Dive

The Controversy of Authenticity

When To the Bone hit Netflix in 2017, it sparked a massive debate in the mental health community. On one side, you have people praising it for finally showing the gallows humor and the skeletal reality of EDs. On the other, you have clinicians worried that it's basically a 'how-to' guide for restrictive eating. Both are right.

Lily Collins is incredible here, but the fact that she had to lose weight for the role (under medical supervision, allegedly) adds a layer of meta-discomfort to the whole project. The film is at its best when it focuses on the group home dynamic—the weird, shared language of the patients and the way they navigate a world that doesn't understand them.

Not Your Average Medical Drama

Keanu Reeves plays Dr. Beckham, and he’s the anti-Patch Adams. He doesn't have a secret cure; he just tells Ellen that the world is hard and she has to decide if she wants to be in it. It’s a refreshing take that mirrors the reality of treatment: the doctor can't want it more than the patient.

If your kid is interested in psychology or social issues, this is a heavy-hitter. But if there’s even a hint of body dysmorphia or disordered eating in the house, I’d suggest skipping this one. The visuals are too stark, and the 'tips' are too easy to internalize. It’s a film that demands a high level of media literacy and emotional stability to watch safely.

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