I caught part of this movie by accident when it first came out. I had a four year old daughter and two year old twin sons, one of whom was not normal, a husband who didn't want to be bothered with raising them, and had given up my shop to stay home with the children. I had no idea what was wrong with my son, who was only very slightly developmentally delayed, but was strangely aloof. This movie presented some of my son's oddities, and I was terrified by much of what I saw. I modified some of my behavior with him beginning that day and talked to our doctor, family members and educators I knew about whether he could be autistic. All were sure that he was not, and I deeply regret that I didn't pursue a second or seventieth medical opinion. In kindergarten my son was diagnosed with Asperger's Syndrome, an autism spectrum disorder. I've been a single mother for 14 years now, and my son is generally viewed as quirky and shy rather than disabled: only time will tell how well he will do in the world.
I can assure you, firsthand, that David's mother would indeed have been far too frazzled and depressed to carry on a relationship with a man even so patently wonderful as Sam Waterston's character (and I've had a crush on Waterston ever since he played Benedict in "Much Ado About Nothing"). I also have a problem with the all-or-nothing ending: David's mom surely should have found a way to see him daily, while allowing him the advantages that trained professionals could offer. But then, I think the same thing about myself.
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