The central theme of the book -- well, besides boy-meets-girl, instant affection -- revolves around mental instabilities. The heroine has two siblings, each with their obsessions and manias, and she cares for them in the country. But when she visits a friend in London, her friend contrives to bring those siblings along, which results in the wounding of our hero -- who is pretending to be delusional in order to escape a marriage arranged via Deathbed Wishes.
On the one hand, the lack of judgment about her siblings' (and others) "peculiarities" is relieving, plus it's necessary for the fluffy tone of the book. (Nothing wrong with wanting a lighter book!) On the other hand, it feels a bit like the stresses of the situation are glossed over rather a lot. And the way they're dealt with at the end is also half satisfying and half deus ex machina, and a dose of... Hm. Of "blood will tell." If a fluffy treatment of mental illness will make you throw the book (or e-reader!) across the room, definitely spare your e-reader!
The exceedingly tidy ending, wherein some obstacles are revealed as never having been obstacles at all, or much more minor ones (in one case, for want of communication), is in keeping with the book's light tone -- but is /exceedingly/ tidy. (Another bit of tidiness: The hero is engaged to be married to someone who, from the initial outer appearances, is just not compatible. Fair enough. But when we get some time in that woman's head... Well, word-count probably dictated a less-than-nuanced character.)
The copy-editing is good, though I spotted one missing comma, one missing period (punctuation, not pregnancy!), and at least 2 or 3 instances of using UK punctuation (periods and commas placed outside the quotation mark)s, but with the US priority of double-quotes vs. single-quotes.
The book's best part is probably the banter. There's a lot of it. It's generally fun. It's sometimes excellent indeed. The heroine is mostly un-bowed by her circumstances, and quick-witted without being anachronistically sassy. (At least, not so much so that I'd notice, anyway; I only dabble in the genre, so I might be missing nuances.) If you're looking for mostly sympathetic characters, and don't mind the overall-shallow treatment of mental illness (and Bedlam itself!), it's probably worth book-sampling.
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