I'm satisfied with the movie. Watched it again, it made more sense. I think if viewers watched it again, some of the blanks would be filled. I'm not sure why viewers were so confused at the concept. The "instructions" were meant to be vague so you could THINK. The idea was different, disturbing yet creative.
Every person could be a victim of substance abuse as a way to cope with demands of a societal culture. Unfortunately, the character was in too deep. The ending, although distasteful for most, executed the fall of sanity; this moment when the main character thought she could convince audiences to love her as she finally accepted herself. Everybody let's you down but she finished off the job. This is virtual reality - it's not flawless.