It would be easy to miss how good this movie is. The dialogue is limited to what people would really say in the circumstances. That means most of the storytelling is visual.
When Mickey asks a doctor to write a prescription so she can get oxycontin for her father, the doctor asks what her plans for college are. She has none. Later, she sneaks into a doctor's office to steal a prescription form and accidentally spills some rosewater, wipes it up with her sleeve, and wipes her hands on her pants. The doctor's influence is now real. Nothing need be said. This film is full of such clues.
Publicity for the film says, "a young woman dreams of living life on her own terms." That's soft-pedaling it. Mickey is devoted to her father who suffers PTSD from his combat in Afghanistan. He tells her boyfriend the reason to have kids is, "When your shit starts to look look sewage, they're there to clean it up for you." As the film goes on her dreary situation turns dangerous.
Mickey and the Bear is full of powerful performances from little-known actors. Camila Morrone as Mickey and James Badge Dale as her father are so good you forget you're watching a movie. With a bigger budget, the director could have had Scarlett Johansson and Bradley Cooper, but they would not have made a better film.
A lot of people say there should be more women making films in Hollywood. If that's going to happen, we have to pay admission to see films like this one by first-time writer and director Annabelle Attanasio. Her accomplishment as a director is all spelled out in the 100% positive reviews on Rotten Tomatoes.