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Plot Summary


Following a desperate suicide attempt triggered by the tragic death of her terminally ill mother in a house fire, Anna Ivers (Emily Browning) is released from a psychiatric hospital after spending ten long months there. Haunted by recurring nightmares from that fateful night, Anna is unable to recall the details of the fire. Upon her return home, she reconnects with her older sister Alex (Arielle Kebbel), only to discover that their father Steven (David Strathairn) has a new partner, Rachel Summers (Elizabeth Banks), who was previously their mother’s live-in nurse.

As the sisters grapple with their mother’s death, they theorize that Anna’s nightmares might be her mother’s way of communicating that Rachel is responsible for her demise, intending to eliminate her to be with Steven. Their anger towards Steven grows, stemming from their belief that his decision to move their mother into the boathouse when she fell ill was selfish, as it left her to signal for help with a bell Rachel strapped to her wrist.

Anna’s boyfriend, Matt (Jesse Moss), reveals he witnessed the tragic events surrounding her mother’s death, but their conversation is abruptly interrupted by Rachel. In an effort to uncover the truth, Anna joins Rachel on a trip into town, allowing Alex time to rummage through Rachel’s belongings and discover clues. They formulate a plan to meet with Matt later that night, but their hopes are shattered when he fails to arrive. Instead, Anna experiences a horrifying vision of him, and the following morning, his lifeless body is found, submerged in water with a broken back, leading the police to conclude it was an accident.

The sisters grow increasingly suspicious of Rachel, discovering that they cannot find any record of her with the State Nursing Association. Their investigation leads them to believe that Rachel might be Mildred Kemp, a cruel nanny who previously murdered children in her care after developing a dangerous obsession with their widowed father. When Steven leaves on a business trip, the sisters attempt to gather proof of Rachel’s alleged wrongdoing. However, their efforts are thwarted when Rachel catches them and sedates Alex, forcing Anna to flee to the local police station. Unfortunately, the officers do not believe her, and soon Rachel arrives to sedate Anna and take her back home.

Back at the house, as Rachel tucks Anna into bed, Anna sees Alex standing in the doorway with a knife before losing consciousness. Upon waking, she discovers that Alex has killed Rachel and disposed of her body in a dumpster. When Steven returns home, Anna franticly claims that Rachel attempted to murder them and that Alex heroically intervened. A bewildered Steven questions Anna’s account, leading to a devastating revelation: Alex perished in the fire alongside their mother. With horror, Anna looks down to find a bloody knife in her own hand, setting off a spiral of realization. She then comes face to face with the truth of that night and the guilt that has plagued her—after witnessing Steven in a compromising situation with Rachel, Anna had acted on her rage and inadvertently caused the fire that took her family from her.

Further revelations about Anna’s mental state surface, illustrating her struggles with severe schizophrenia and dissociative identity disorder. Flashbacks depict how Anna has been imagining Alex’s presence since her discharge, leading to tragic consequences, including the truth about Matt’s demise at her hands and the misunderstanding surrounding Rachel’s character—she was not a murderer, but a compassionate figure attempting to salvage the family dynamic.

As Anna is taken into custody the following morning, the police interrogate Steven, who divulges that Rachel changed her last name to escape an abusive relationship, revealing her true identity as Rachel Worshinsky. The story concludes as Anna is returned to the mental institution, where she encounters the patient in the adjacent room, now known to her as the real Mildred Kemp.

Timeline


Anna's Suicide Attempt

Haunted by the traumatic loss of her mother in a house fire, Anna Ivers attempts suicide as a desperate act of escape from her pain. This tragic event marks the beginning of her long and grueling ten-month stay in a psychiatric hospital.

Release from Psychiatric Hospital

After spending ten months in treatment, Anna is finally released from the psychiatric hospital. Despite her liberation, she remains troubled by recurring nightmares that stem from the night of her mother's death.

Ten months later Psychiatric Hospital

Reunion with Alex

Upon returning home, Anna reconnects with her older sister Alex, finding solace in their shared grief. However, the sisters are soon troubled by the presence of their father's new partner, Rachel, who was previously their mother's live-in nurse.

Home

Theory about Rachel

Anna and Alex begin to theorize that Anna's nightmares might be a warning from their deceased mother, suggesting that Rachel is responsible for her demise. Their suspicion grows, particularly because they feel their father’s decision during their mother's illness was selfish.

Conversation with Matt

Anna's boyfriend, Matt, shares that he witnessed the events surrounding her mother's fire, providing her with insight into that tragic night. However, their discussion is cut short by Rachel, reigniting Anna's fears regarding her intentions.

Trip to Town with Rachel

To seek clarity and answers, Anna joins Rachel on a trip into town, granting Alex the chance to sneakily investigate Rachel's belongings. They hope to uncover evidence that will help them confront Rachel about their suspicions.

Town

Matt's Mysterious Disappearance

Anna and Alex plan to meet with Matt that night to discuss further findings, but their hopes are dashed when Matt fails to show up. The following morning, they discover his body, leading to police conclusions of an accidental death.

The following morning Nearby water

Investigation into Rachel

As tension builds, the sisters grow more suspicious of Rachel, quickly discovering that no records exist for her with the State Nursing Association. Their investigation leads them to believe that Rachel is, in fact, a notorious child murderer.

Confrontation with Rachel

With their father away on a business trip, Anna and Alex devise a plan to bundle evidence against Rachel. However, their attempt is quickly thwarted when Rachel discovers their actions, leading to Alex being sedated and Anna forced to flee.

Home

Desperate Plea to Police

Anna desperately tries to seek help at the local police station, but the officers dismiss her claims regarding Rachel's misconduct. Shortly afterward, Rachel arrives, sedating Anna and bringing her back home.

Police Station

Alex's Sacrifice

Upon regaining consciousness, Anna learns that Alex has killed Rachel in an act of desperation and has disposed of her body. This shocking revelation raises more questions and confusion, especially as Anna becomes entangled in their deception.

Steven's Doubt

When their father Steven returns home, Anna frantically recounts the events, trying to convince him that Rachel was a threat. However, Steven questions Anna's story, setting the stage for a tragic realization about Alex's fate in the fire.

Home

Discovery of the Truth

A devastating twist occurs when Anna discovers that her sister Alex actually perished in the fire along with their mother. This revelation triggers a spiral of guilt and confusion as Anna realizes her actions led to the family's tragedy.

Anna's Mental Health Struggles

In the aftermath, Anna's mental state is further complicated by her schizophrenia and dissociative identity disorder. Flashbacks reveal that she had been imagining Alex's presence, distorting her perception of reality and leading to tragic outcomes.

Return to the Institution

The police take Anna into custody following the tragic events. As she is returned to the mental institution, she encounters another patient who is revealed to be the real Mildred Kemp, leaving Anna to grapple with the chilling truths of her past.

The following morning Mental Institution

Characters


Anna Ivers (Emily Browning)

Anna is a deeply troubled young woman who struggles with the aftermath of her mother's death and her own mental illness. Throughout the film, her character undergoes significant turmoil as she grapples with confusion and guilt. As she seeks to uncover the truth, her reliability as a narrator is challenged, revealing the complexity of her psyche.

🧠 Mental Health 👭 Sisterhood 🔥 Trauma

Alex (Arielle Kebbel)

Alex serves as Anna's supportive older sister, initially focusing on helping her heal. However, as they delve deeper into the mystery surrounding their mother's death, Alex becomes a crucial ally in exposing the truth. Her protective instincts and complex emotions add depth to her character, reflecting themes of loyalty and sacrifice.

👭 Sisterhood 🔍 Investigative 😟 Protective

Rachel Summers (Elizabeth Banks)

Rachel is initially presented as a potential menace in the sisters' lives, elongating the tension and suspense. As the narrative unfolds, her character is revealed to be more complex than anticipated, showcasing a protective side that complicates the sisters' perception of her. This makes Rachel an enigmatic figure within the story.

🕵️‍♀️ Suspicion 🌪️ Complicated Relationships 💔 Heartbreak

Setting


Time period

The film's events transpire in contemporary times, highlighting issues that resonate with modern audiences. Themes of mental health and family trauma are brought into focus, reflecting ongoing societal conversations regarding these topics.

Location

House, Local Police Station, Town

The movie unfolds primarily in a house where the sisters grapple with their traumatic past and confront a threatening new figure in their lives. A local police station serves as a backdrop for Anna's desperate attempts to seek help, representing the disconnection between her reality and the outside world. The town features as a setting for crucial investigations and interactions that heighten the tension of the narrative.

🏠 House 🚔 Police Station 🌆 Town

Themes


🔍

Mystery

Mystery permeates the film as Anna and Alex unravel the truth behind their mother's death and the identity of Rachel. The plot is laced with suspense as the sisters' investigation leads to chilling revelations about trust and deception. The evolving mystery thickens with each twist, keeping viewers engaged with the unfolding drama.

🧠

Mental Health

Mental health is a central theme, as Anna confronts her schizophrenia and dissociative identity disorder. The film portrays her struggles with trauma and reality, emphasizing the confusion and fears that accompany her condition. This theme sheds light on the complexities of human psychology and the impact of unresolved grief.

💕

Family

Family dynamics are a driving force of the narrative, particularly the bond between Anna and Alex. Their relationship evolves amidst grief and suspicion, ultimately revealing the painful truths that lie beneath their shared past. The theme highlights how love can be both a source of strength and a catalyst for tragic events.

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