Nearly four years later, he's still stuck in the same environment and repeating the same patterns of behavior ...
IANTE, nearly 10 years later, Mr J is still doing the same.
The ambient a MLCer may get itself into, can, IMO, contribute to the length of their crisis.
On the other hand, wallowers (the MLCer who never leave), can remain in the same place/crisis for years on end.
Most likely the ambient inside the MLCer is more or less the same for many years.
Dr. Asif methods seem very interesting. Integrated with hormones, ambient, etc, it could really had a positive effect on a MLCer, when they are not deep into the fog. Providing, of course, it would be possible to have the MLCer accepting to attend an appointment with Dr. Asif.
A thing I'm not entirely sure is possible. But maybe Dr. Asif could be a good option once the MLCer is out of the fog.
Sometimes good things fall apart so better things can fall together. (Marilyn Monroe)