Laura Dern as Ruth Stoops

Swoosie Kurtz as Diane Siegler

Kurtwood Smith as Norm Stoney

Mary Kay Place as Gail Stoney

Kelly Preston as Rachel

M.C. Gainey as Harlan

Kenneth Mars as Dr. Charlie Rollins

David Graf as Judge Richter

Kathleen Noone as Nurse Pat

Tippi Hedren as Jessica Weiss

Burt Reynolds as Blaine Gibbons

Lance Rome as Ruth's Lover

Jim Kalal as Tony Stoops

Shea Degan as Arresting Officer

Vince Morelli as ER Doctor

Marilyn Tipp as Kathleen

Lois Nemec as Sandy

Tim Vandeberghe as Bail Clerk

Sebastian Anzaldo III as Matthew Stoney

Alicia Witt as Cheryl Stoney

Mick McDonald as Party Dude

Okley Gibbs as Norm's Manager

Roberta Larson as Briana

Pam Carter as Fran

Steve Wheeldon as Kirk

John LaPuzza as Clinic Protestor

Billie Barnhouse-Diekman as Clinic Protestor

Susan Stern as Cindy Lindstrom

Jeffrey L. Goos as News Anchor

James Devney as Officer Iverson

Tim Driscoll as Officer Bundy

Caveh Zahedi as Peter

David Hirsch as Man in Motel Lobby

Gail Erwin as Woman in Motel Lobby

Tony Wike as Anecdote-telling Man

Sherry Josand Fletcher as Helpful Registration Woman

Jim Delmont as Press Conference Reporter

Dennis Grant as Don Mattox

Will Jamieson as Surveillance Guy

Jeremy Sczepaniak as Eric

Delaney Driscoll as Ruth's "Sister"

Robert O'Connell as Biker

Judith Hart as Sarah Schneider

Joan Pirkle as Dr. Cary Milton

Lorie Obradovich as Receptionist

Joan Hennecke as Nurse

Michael Tourek as Guy Hit by Toilet Lid

Katrina Christensen as Ruth's Kid

John Bell as Ruth's Kid

Jeffery Thomas Johnson as Harlan's Biker Friend

Fred Lovelace as Harlan's Biker Friend

Ed Morehouse as Harlan's Biker Friend

Jim Reinken as Harlan's Biker Friend

Wm. J. Billy Bob Muddle III as Harlan's Biker Friend

Diane Ladd as Ruth's Mother (uncredited)