Bipolar Spectrum

Bipolar disorder is characterized by a series of depressive and manic episodes of unpredictable duration. An episode can last for weeks, even months.

Manic episodes are identified as periods of inappropriate euphoria, talking too much, extreme irritability, reckless behavior, aggressive behavior and even out-of-control spending. Depressive episodes are manifested by excessive crying, low energy, thoughts of death or suicide, major swings in appetite and low energy.

In between such manic or depressive episodes people with bipolar disorder can go for long periods exhibiting apparently normal moods. Bipolar disorder can have devastating effects on any individual’s professional, social or family lives.

Lakeside’s initial goal is to help patients and their families understand the nature of the illness, and then provide proven treatment strategies that can lead to useful and productive lives.


Led by a multi-discipline team under the direction of Medical Director Radwan F. Haykal, M.D., the Bipolar program focuses on the following areas:

  • Specialized process groups focusing on bipolar issues
  • Cognitive behavioral therapy
  • Educational groups focused on developing more adaptive coping skills
  • Recreational therapy to help plan leisure time and teach skills in exercise and social interaction
  • Monitoring of mood and sleep patterns to assist patients in identifying mood cycles
  • Multi-family groups to assist in family education regarding the illness
  • Participation in Depression Bipolar Support Alliance Group
  • Nutritional education to promote healthy living skills
  • Relapse prevention education

A bipolar support group provides a setting for people to share common problems and to support one another. Family therapy is provided in weekly multi-family and/or significant-other groups. Weekly aftercare groups are available at no charge for up to three weeks following discharge to help assure a smooth transition home.

Dr. Radwan Haykal graduated from the American University of Beirut Medical School in 1975. He completed his psychiatric residency in 1978 from the University of Tennessee Center for the Health Sciences in Memphis, Tennessee. He has been Board Certified since 1980 and is a Distinguished Fellow of the American Psychiatric Association. He has been in private practice in Memphis and affiliated with Lakeside since 1983.

Dr. Haykal is a Clinical Professor of Psychiatry and a Clinical Associate Professor of Family Medicine at the University of Tennessee Health Sciences Center, Memphis. He has served as the Medical Advisor to the Depression Bipolar Support Alliance of Memphis since its inception in 1986. He has published several articles on mood disorders with focus on dysthymia and bipolar disorder and has been a speaker in national and international psychiatric forums. He is past president of the Tennessee Psychiatric Association.