Deconstruction of an Important Psychotherapeutic Agent Unfortunately, earlier in 1949, less rosy pictures of lithium were published in JAMA (Corcoran, Taylor, & Page, 1949; Hanlon, Romaine, Gilroy, & Deitrick, 1949). cases of lithium poisoning, including fatalities from substituting lithium chloride for table salt in cardiac patients, were described in JAMA. With careful monitoring and rigid adherence to prescribing instructions, many patients taking lithium live relatively normal lifestyles without undue interruptions related to adverse side effects. Case Study No. 1 Bill is a 38-year-old White male confined to a wheelchair; his condition was caused by lithium-induced neuropathology.\n The physician wisely ordered a lithium level to be drawn, but in the absence of reported symptoms, did not order the blood to be drawn immediately.