I personally disagree with the rating. Although it does occasionally have brief sexual references or drug/drinking content, it is very mild and not condoned nor participated in by the main characters. The show does not revolve around those things but simply explains that the main character is trying to get by in this materialistic atmosphere (he is a personal doctor, only rich people need those, therefore he is in the very wealthy hamptons). I have rarely noticed any cussing. The biggest issue is the medical scenes, which can be over the top graphic, however, they are saving people, not harming them. Be sensitive to your child's reaction to blood. Honestly, I consider it to be a fairly family friendly show with some adult themed subplots at time, overall it is harmless. The only draw back is that on occasion the characters can get annoying or the plots can be lacking. Other than that, great entertaining uplifting tv show.