THE SPIRIT BARES ITS TEETH has a thematic focus on the violent enforcement of gender roles and Victorian-era psychiatry as tools of oppression. Content warnings include:
- Graphic violence
- Sexual assault - implied, attempted, and on-page
- Medical gore, including an on-page Cesarean section
- Transphobia (explicit misgendering, dead-naming, transphobic violence/conversion therapy)
- Anti-autistic ableism
- Medical/psychiatric abuse, including dubious diagnosis and treatment
- Gaslighting and abuse
- Minor discussions of miscarriage
A more general list of content warnings also exists in the author's note at the front of the book.