This difficult movie is about a seventeen-year-old from the U.S. underclass who has to deal with an unplanned pregnancy. Autumn is creative, reserved, and quiet, but those are not qualities that her environment in rural Pennsylvania seems to value. On the opposite, she is surrounded by threats, including disturbing step-father and boss characters. 

Dangers escalate as Autumn decides to travel to New York to have an abortion. Never Rarely Sometimes Always is about unplanned pregnancies as much as it is about just how dangerous it is to be a teenage girl living in America.