i got it accidentally lol
Starr
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There wasn't anything major in their last VN (Our life: beginnings and always) so I would assume not. Their last VN was a very wholesome and endearing story with very mild nods to adult themes and no visual adult elements and until told otherwise I would assume this will be very much the same in that regard. Either way its an amazing VN and I recommend it, very easy to get connected to the characters.
I'm not the creator, and I know this comment is old but I've played this quite a lot and it sounds like you just didn't pick the best choices. A little tip is that if you picked the best option possible with a patient you often get a heart of their colour pop up on your screen, tho not every interaction has a "heart option". I hope this helps you if you decide to keep playing!
I just finished playing for a good few hours and OMG I LOVE IT! I LOVE IT! I LOVE IT! It's everything I was waiting for and more, after two years im very happy to notice i havent lost my passion or interest in the game, I remember when i first played it, it was the deciding factor in my plans to become a psychologist in a psych ward. proud to say that your game has now inspired me to start a psychology course in college this september, cannot wait for the next build! i am absolutely in love with this game and i just got done playing micheals route.