This chapter describes the common complication of the chronic condition, namely, alcoholism.
When patients experience TPLSDS for years with only minimal benefit from ineffective medications, they become mentally and physically exhausted by the symptoms and their consequences, and become overwhelmed with discouragement, despair, helplessness, and hopelessness...The natural progression for patients is to then turn to an addictive substance for relief.
The substance of choice for the majority of patients has been alcohol, alone or in combination with various other substances, both legal and illegal.
Four cases of chronic alcoholism are presented. Once the diagnosis of TPLSDS was established and effective treatment instituted, all patients experienced gratifying improvements, went into remission, and and then claimed they no longer felt like drinking.