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Psychiatry · Depression, anxiety, sleep

PTSD treatment in Almaty

In short

Post-traumatic stress disorder (PTSD) is a mental disorder that develops after a severe event: an accident, assault, violence, combat, a natural disaster, or the death of a loved one. It shows up as intrusive memories, nightmares, avoidance, and constant alertness. A Narcology 24 psychiatrist and psychotherapist in Almaty help online, in person, and at home. Trauma-focused psychotherapy usually takes 8–16 sessions.

Call a doctorTeam on call
Zhanar Tulegenova, MD
Zhanar Tulegenova, MDPsychiatrist and psychotherapist · experience 18 years
  1. 01Call or WhatsApp
  2. 02The doctor sets off
  3. 03Help on site
Almaty · 24/7+7 (700) 309-29-88

from 12 000 ₸ConfidentialVisit: usually within an hour

Reviewed byZhanar Tulegenova, MDPsychiatrist and psychotherapist, experience 18 years · updated 8 Nov 2026

Key facts

ICD-10 code
F43.1
Who provides care
A psychiatrist and a psychotherapist trained in trauma work
Where
An office in Almaty, online by video, home visits
Duration
Trauma therapy 8–16 sessions; medication, if needed, for 6 months or more
Anonymity
No documents required and no dispensary registration
When it’s urgent
Suicidal thoughts, aggression, a heavy drinking binge — call 103 or 112
Outcome
Memories lose their sharpness, and sleep and a sense of safety return

What you should know

PTSD most often comes up on calls made for a different reason. We go to a man on a drinking binge in the Turksib district, and behind the binge is an accident two years ago, after which he can’t sleep without alcohol. Or a young woman’s mother calls: her daughter screams at night, flinches at every sound, and has stopped going out alone. The dispatcher always asks whether there was some severe event — people often don’t connect their condition with what they went through.

At the meeting, I never rush the person to tell me about the trauma. It is enough to know that something happened. A person with PTSD is constantly on guard: they sit with their back to the wall, watch the door, and jump at a bang. The first task is safety and sleep. The second is to explain that their reactions are normal for what they went through and that they can be treated. The actual trauma work begins later, when the person is ready, and it is led by a psychotherapist.

Signs and symptoms of PTSD

  • intrusive memories of the event, as if it were happening again — “flashbacks”
  • trauma-related nightmares and fear of falling asleep
  • avoiding places, people, and conversations that are reminders of what happened
  • constant alertness, jumping at sudden sounds
  • outbursts of anger, irritability, trouble concentrating
  • guilt, shame, feeling detached from loved ones, emotional numbness
  • using alcohol or sedatives to fall asleep and not remember

If two or three points apply, it is worth seeing a doctor. Phone advice is free and confidential. If life is at risk, call 103 or 112.

Why some people get through trauma while others develop PTSD

PTSD arises after events that threatened the life or safety of a person or their loved ones: accidents, assaults, violence, war, fires, earthquakes, or the sudden death of a loved one. In seismically active Almaty, many people know the fear of earthquakes, and for some, the tremors they have lived through leave a lasting mark. Not everyone who experiences trauma develops PTSD, and it has nothing to do with weakness.

The risk is higher if the trauma was prolonged or repeated, if the person was left without support, or if there were previous traumatic events, depression, or an anxiety disorder. Symptoms can appear immediately or months later. Signs that last more than a month and get in the way of life are a reason to see a doctor. The earlier treatment starts, the lower the risk that depression and addiction will join in.

How help for PTSD works

The first meeting can be by video, if it is hard for the person to leave home, or in person at the office. The psychiatrist asks about symptoms, sleep, mood, alcohol, and suicidal thoughts. There is no need to tell the details of the trauma right away. At the end, a diagnosis is made and a plan is drawn up: stabilizing sleep and anxiety, then trauma-focused psychotherapy. Sessions take place once a week. The psychiatrist monitors the person alongside and adjusts treatment if needed.

Trauma work does not begin while the person is in an acute crisis: suicidal thoughts, a heavy drinking binge, psychotic symptoms, or ongoing violence. Safety comes first, sometimes hospitalization. If there is a direct threat to life, call 103 or 112. For children and young people, the 150 helpline is available.

How we help

01

Stabilization

The first stage is to restore sleep, reduce anxiety and hypervigilance, and ensure safety. The psychiatrist may prescribe individually selected medications to improve sleep and reduce anxiety. The person learns techniques that help them cope with flashbacks: grounding, breathing, and shifting attention. This prepares them for the main trauma work.

02

Trauma-focused psychotherapy

According to WHO and NICE guidelines, the main methods are trauma-focused cognitive behavioral therapy and EMDR (eye movement desensitization and reprocessing). The Narcology 24 psychotherapist helps the person safely process the memory so that it stops returning with the same force. It usually takes 8–16 sessions, in person or online.

03

Medication

Medications don’t replace psychotherapy, but they help if symptoms are severe or there is accompanying depression. Most often these are antidepressants, whose effect builds over several weeks. Doctors try not to use benzodiazepines for long in PTSD. The regimen and duration are determined by the doctor after an examination and discussed with the patient.

04

Addressing addiction and involving the family

If the person relieves symptoms with alcohol or sedatives, an addiction doctor joins the treatment. Loved ones receive a consultation: how to support without forcing the person to talk about the trauma, and how to respond to outbursts of anger and nightmares. The family becomes part of recovery rather than an outside observer. Meetings take place in person or online.

Myths and facts

MythOnly soldiers get PTSD

FactPTSD develops after any event that threatened life or safety: accidents, assaults, violence, disasters, or the sudden death of a loved one. The disorder can occur in a person of any age and profession.

MythYou just need to forget and move on

FactWith PTSD, a memory can’t be “forgotten” through willpower: it comes back in nightmares and flashbacks. Attempts to suppress it often make the symptoms worse. Psychotherapy helps process the experience rather than erase it.

MythTo recover, you have to retell the trauma again and again

FactTrauma work is done gradually, gently, and only when the person is ready. The psychotherapist manages the intensity. Repeated retelling without structure can, on the contrary, do harm.

How a home visit works

  1. Call or message usThe dispatcher answers 24/7 and in 3–5 minutes checks the person's condition, age, how long the drinking or use has lasted, chronic conditions and the address. No surname needed.
  2. The doctor sets offAn addiction doctor or psychiatrist comes with equipment and medication. Travel time depends on the district — usually within an hour. If inpatient care or an ambulance is needed, we'll say so straight away.
  3. Examination and treatmentBlood pressure, pulse, oxygen saturation, blood sugar if needed and a neurological check. Then an IV drip or other treatment as indicated, 1–3 hours.
  4. A plan for the next daysAdvice for the family on what to do overnight and tomorrow, phone follow-up and a repeat visit if needed.
  5. Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.

Prices in Almaty

Psychiatrist consultation15 000 ₸
Follow-up consultation12 000 ₸
Psychotherapy session (50 min)15 000 ₸
Phone advicefree

The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.

Where to get help

Narcology 24 in Almaty: our duty team makes home visits day and night, usually within an hour (all city districts and nearby settlements). Two branches for appointments and procedures — 84 Zhandosova St., Almaty and 21 Seyfullina Ave., office 11, Almaty. When indicated, we arrange admission and transport.

Confidential and private

in Almaty our doctor can come in ordinary clothes in an unmarked car. Treatment documents are given only to the patient. If you need a certificate or sick note, this is discussed separately and only at your request.

Questions and answers

When should I see a doctor after a traumatic event?

If a month after the event, intrusive memories, nightmares, avoidance, and constant alertness persist, sleep is disrupted, and it gets in the way of life. Sooner if suicidal thoughts have appeared, the person has started drinking to fall asleep, or they can’t manage everyday tasks.

Do I have to tell the doctor the details of the trauma?

Not at the first meeting. It is enough to say that a severe event took place. The psychiatrist and psychotherapist will not demand details until you are ready. The pace of trauma work is always decided together with the patient, never imposed.

How long does PTSD treatment take?

Trauma-focused psychotherapy usually takes 8–16 weekly sessions, that is, 2–4 months. If medications are prescribed, they are taken for at least 6 months after improvement. The exact timing depends on what the trauma was and how long ago the symptoms appeared.

Can PTSD be treated online?

Yes, psychotherapy by video shows good results for PTSD. It is convenient for people who are afraid to leave home or live far away, in Kaskelen or Talgar. An in-person examination is needed for a severe condition, a suicide risk, or an accompanying addiction.

Do sleeping pills help with nightmares?

Sleeping pills help you fall asleep for a short time, but they don’t treat PTSD and are habit-forming with long-term use. The doctor can choose medications that improve sleep without this risk. The main treatment for nightmares is trauma-focused psychotherapy.

How can I help a loved one with PTSD?

Be there, but don’t force them to talk about what happened. Don’t dismiss their reactions. Help them keep a regular sleep and daily routine. Gently suggest a consultation — you can start with your own meeting with a psychiatrist. If your loved one talks about suicide, call 103 or 112.

Where do doctors visit in Almaty and where are the branches?

Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 84 Zhandosova St., Almaty and 21 Seyfullina Ave., office 11, Almaty. Phone in Almaty: +7 (700) 309-29-88.

Sources and methodology

This page was prepared by the Narcology 24 medical editorial team based on:

  • International Classification of Diseases ICD-10 and ICD-11, World Health Organization
  • Clinical diagnosis and treatment protocols of the Ministry of Health of the Republic of Kazakhstan
  • Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”
  • NICE (UK) guidelines on alcohol and drug misuse and mental health conditions
  • WHO recommendations on the treatment of substance use disorders

This information is for reference only and does not replace a consultation with a specialist. Editorial policy

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Duty team on call

Addiction doctor home visits in Almaty, 24/7: all city districts and nearby settlements. Two branches for appointments; online consultations from anywhere.

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