Ewan McGregor character Sam Foster
Ryan Gosling character Henry Letham
Naomi Watts character Lila Culpepper
Kate Burton character Mrs. Letham
Elizabeth Reaser character Athena
Bob Hoskins character Dr. Leon Patterson
Janeane Garofalo character Dr. Beth Levy
BD Wong character Dr. Bradley Ren
John Tormey character Custodian / Piano Mover #1
José Ramón Rosario character Cabbie / Piano Mover #2
Becky Ann Baker character Paramedic #1 / Butch Cook
Lisa Kron character Paramedic #2
Gregory Mitchell character Dance Instructor
John Dominici character Boy / Young Henry
Jessica Hecht character Boy's Mother
Sterling K. Brown character Frederick / Devon
Amy Sedaris character Toni
Michael Devine character Security Guard
Jolly Abraham character Young Woman / Intern
Mark Margolis character Bookstore Owner
Mary Testa character Waitress #1
Angela Pietropinto character English Woman / Waitress #2
Oni Faida Lampley character Daisy / Waitress #3
Jarlath Conroy character English Man
Michael Gaston character Sheriff Kennelly / Security Officer
Noah Bean character Clerk / Student Guide
Isaach De Bankolé character Professor
G. A. Aguilar character Bicyclyst
Riley G. Matthews Jr. character Officer #1
Vito Violante character Officer #2
Douglas Crosby character Psych Ward Paramedic #1
Blaise Corrigan character Psych Ward Paramedic #2
Hank Eulau character Noodle Man
Mam Smith character Dancer #1
Caroline Vexler character Dancer #2
Joan Chiang character Dancer
Ron DeJesus character Dancer
Carolyn Dorfman character Dancer
Emily Gayeski character Dancer
Noel MacDuffie character Dancer
Kevin Osgood character Dancer
Elizabeth H. Parkinson character Dancer
Karine Plantadit character Dancer
John Selya character Dancer
Kyle Sheldon character Dancer
Tom Titone character Dancer
Pamela B. Wagner character Dancer
Amber Gristak character Accident Witness (uncredited)
Andrew Horne character Art Student (uncredited)
Jerry Quinn character Old Man in Diner (uncredited)
