The cover for the version I read is beautiful, though I'm not sure how it relates to the story.
Before I get into it, I'm going to give the author props for going outside of the norm. Most of the romance books I've read in this vein tend to aim more towards delayed gratification.
That being said, this book read like a fan-fiction/fantasy/adult movie script when the MCs had their sessions. He's hardly in the door and the fem protag is looking him over in a very non-professional way. On top of that, she's a terrible therapist.
Fem protag: What was your childhood like, hot stuff? Tell me about your family.
Male protag: Blah blah, family drama and childhood trauma, blah.
Fem protag: AHA! Your anger issues stem from lingering anger at your father for abandoning you and your siblings! Case solved. Let's bang.
Me: Esqueeze me Ms. Doctor therapist lady, do you have any ideas for how he should deal with this latent anger or cope when he feels like beating another guy's face in or throwing something?
Fem protag: Uh, I don't know. Wait, yoga, lots and lots of naked yoga, with me. And by "yoga", I mean sex. We should really get on that, we've still got twenty minutes in our session after all. Excuse us!
I didn't like any of the main characters. I hated the fem protag, she had this stupid "No, hot male protag, don't ravish me, it's unethical! Oh yes, ignore me and keep up your ravishing, but no really stop this is unethical, keep going," thing. She also told her daughter and the male protag the very legit reasons why she "wouldn't" have a relationship with the male protag, then proceeded to lie about doing exactly what she told her daughter she wouldn't ever do. I'm sorry, Maxie, the power of the D is just too strong for your mother to remember your trust in her and in men in general is at risk. You know, priorities.
The male protag was an asshole in the beginning and excessively selfish (beating down the potential love of his sisters life, father of her unborn kid, and possible future member of his fudging family without concern for how it would affect his team, his family, or his fans, especially the young ones, is a prime example) so I didn't like him off the bat. By the end, he was still selfish (he was definitely the bigger instigator of the relationship with the fem protag without regard for her career or his team).
I'm not a total monster, the moments the three of them spent together were cute.
But all in all, it's not the fantasy of an "unethical" relationship (between two consenting adults) that makes a book like this good, it's the relationship those characters build that makes a relationship like that worn the risk. This relationship was not worth the risk, and still, frustratingly, no one really got punished for it, so all that llama drama
about ethics was total fluff and they could have been boning in front of her daughter and all of America from the get-go.