I think your sig timeline is not quite right. It indicates you signed up 4/2012 for coaching, which would suggest over a year of coaching.

I am curious, when your coach suggested you have almost exhausted all the techniques, would I be incorrect in assuming that you let your coach know that you tried a number of techniques, rather than actually working with the coach through a number of the techniques?

Does your coach suspect possible MLC?

Is there anything else your coach suggested previously that you tried? What was it and how did it not work?

You have mentioned a lot of reasons that might suggest why you can not have a PMA, GAL, and be nice to him if he's nice to you.

So outside of those things, how can you still fulfil the recommendations of your coach?