I mean it's not common practice for a psychiatrist to hold a patient in their arms, poking their eyes out with their nipple piercings so I'm gonna go for the justification of "she didn't get any for a long time and is just horny as shit".
I dunno if Ocean can do "horny as shit", given his vow of celibacy for the time being. But all joking aside, yes having Amber be a horny MILF is probably the best way to do it, i mean given that she still has pierced nipples probably tells you more about her than anything you can find in a therapy session. The problem is how is that gonna work in relation to Bella? She is gonna be so horny she just fucks a guy that her daughter likes?
Again all of this goes back to delaying all the sex stuff for so long, it allowed MC to build up too much of a platonic and romantic relationship with too many characters, to the point where MC having sex with anyone else than the first romantic interest makes it impossible.
That small window of moment where you hook up with someone for the first time, where you still ease into a relationship in many of these games where you get to fool around with others while you are still going on a date with someone else is long gone. The game boasts one of the largest casts of female romantic interests, both main and side ones and i am suppose to think that the MC is gonna turn into a sex machine any minute now and start fucking 25+ girls left and right after he already got to know them so well and built whatever relationship he did? Sorry but it just aint working, this could have worked if this was a fresh game as i said, the MC just joined a college and went to parties where he met all these girls for the first time, but i have spent so much time with Bella, Mila, Nami, etc... that i feel like I am already at the stage where we are picking the wedding dresses for all 3.
But whatever, at least there is Where it all Began where i can watch yassified Great Khali bang the hot Asian chick, while we watch him have a back and forth with Bel.. i mean Katie. Lets all make a bet on how long it will take in that game before the MC gets to fuck anyone else but his girlfriend, i am sure Summers Gone hasn't robbed off on him the wrong way at all...