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Addiction medicine · Coding and blockades

Dovzhenko method coding in Astana

In short

Coding with the Dovzhenko method is a psychotherapeutic (suggestion-based) technique in which a psychotherapist, during a session, builds a lasting commitment in the person to give up alcohol. No medications are given. The method suits those who have decided themselves to stop drinking. What matters for the family: it is impossible without your loved one’s consent. Narcology 24 in Astana holds the session anonymously after a consultation and the required period of sobriety.

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Olga Smirnova, MD
Olga Smirnova, MDAddiction psychiatrist · experience 27 years
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  2. 02The doctor sets off
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Astana · 24/7+7 (700) 309-30-17

from 10 000 ₸ConfidentialVisit: usually within an hour

Reviewed byOlga Smirnova, MDAddiction psychiatrist, experience 27 years · updated 8 Nov 2026

Key facts

ICD-10 code
F10.2
Who provides care
A psychotherapist or an addiction physician trained in the method
Where
In a consulting room at the clinic in Astana, in a calm setting
Duration
Consultation and session usually take 1.5–3 hours, sometimes over two visits
Anonymity
No state registry, medical confidentiality under the law of the Republic of Kazakhstan
When it is urgent
The session is not held during a binge — detox and sobriety come first
Outcome
A commitment to sobriety for the chosen period as part of comprehensive treatment

What you should know

Many families have heard of the Dovzhenko method, and plenty of legends surround it — from “hypnosis that cuts off cravings forever” to “an empty formality.” We will be honest: it is a psychotherapeutic, suggestion-based technique built on suggestion and motivational work. It is a form of alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries) and can become solid support for someone who has decided themselves to quit drinking, but it is not a “magic button.” Below we explain how the session works, who it suits, and what loved ones should do before and after.

Relatives in Astana often think that a method without injections or pills is a “gentle” option that can be offered to a person with almost no preparation. In reality, its requirements are serious: sobriety, no psychiatric contraindications, and a sincere wish on the patient’s part. The Narcology 24 psychotherapist first holds a conversation, assesses readiness, and only then schedules a session. You can come for a consultation from any district — from Yesil and Nura to Saryarka and Baikonur.

Which loved ones the Dovzhenko method may suit

  • the person wants to stop drinking and is looking for outside support for that decision
  • there are contraindications to medication-based coding, or a fear of injections
  • the person is open to suggestion, trusts the doctor and is ready for psychotherapeutic work
  • they have completed the required period of sobriety and are sober now
  • there are no acute mental disorders, epilepsy or serious heart disease
  • the family is ready to support sobriety and not bring up past relapses
  • the person is ready to keep seeing a psychotherapist after the session

If heavy drinking has lasted more than two or three days, or there is shaking, vomiting, blood-pressure spikes or insomnia, you need a doctor rather than stopping alone. Phone advice is free. For seizures, confusion or hallucinations call 103 or 112.

What the method is based on and what to expect from it

The Dovzhenko method belongs to the psychotherapeutic techniques of suggestion — influence delivered in a state of heightened concentration. The doctor builds in the patient a commitment to give up alcohol, drawing on the patient’s own wish. It is important to understand that this is not a hypnotic trance or “programming” against a person’s will. If the person does not want to quit, suggestion will not work. The evidence base for the method is limited, and we say so openly.

The method works best as part of a program: sobriety, a conversation about the reasons for drinking, family support and follow-up psychotherapy. In Astana, many people live with overtime and business trips, and stress pushes them toward alcohol. So after the session, it is worth planning ahead what will replace the habit of “unwinding” in the evening, especially during the long winter evenings, when frost and wind mean fewer walks.

How Dovzhenko method coding works: step by step

The first meeting can be online — with relatives or with the person themselves: the psychotherapist explains the essence of the method, answers questions and clarifies the period of sobriety. Then, at an in-person consultation, the doctor talks with the patient and assesses their mental state, motivation and contraindications. After the informed consent form is signed, the session takes place in the consulting room: a conversation, followed by the suggestion phase. At the end, the doctor explains how to move forward and offers follow-up meetings for support.

The session is not held during intoxication, a binge or a hangover, in acute psychosis, severe depression with suicidal thoughts, epilepsy, serious heart disease or pregnancy, or without the patient’s wish. Detox and a period of sobriety come first. If your loved one has thoughts of suicide, do not wait for a session — call 103 or 112; for children and young people, the 150 helpline is available.

How we help

01

Preliminary conversation

The doctor finds out the person’s history of drinking, previous attempts to quit, motivation, family relationships and mental state. This is not a formality: the result depends on the person’s readiness. If the psychotherapist sees that the patient has come only because of pressure from loved ones, he will say honestly that it is better to postpone the session and work on motivation first.

02

The suggestion session

The session takes place individually, in a calm setting. The doctor uses techniques of focused attention and suggestion to build a commitment to sobriety for the period the patient has chosen. No medications are used. The person remains conscious, remembers what is happening and can stop the session. Usually no recovery time is needed afterward.

03

The period and how it is chosen

The length of the commitment is discussed with the patient in advance: from several months to several years. A realistic period is better than a “record-breaking” one: it is important for the person to feel that they are coping. Relatives should not insist on the maximum period — pressure undermines trust and can push the person toward relapse. The period can always be extended later if the person wants.

04

Support after the session

The method provides support but does not solve every problem. After the session, Narcology 24 offers meetings with a psychotherapist on how to cope with stress without alcohol and how to rebuild family relationships. It is important for loved ones to support the new rhythm of life, praise sober weeks, and not bring up the past every day or set up checks.

Myths and facts

MythThe Dovzhenko method is hypnosis, after which the person remembers nothing

FactIt is psychotherapeutic suggestion, not a hypnotic trance. The person is conscious, understands and remembers what is happening, and takes part in the session voluntarily. It does not “switch off” their will; it works with their own decision.

MythYou can code someone with the Dovzhenko method against their wishes

FactNo. The method is based on suggestion, which only works when the person wants to quit drinking. Coercion is useless and contradicts the principle of informed consent. The family can motivate but cannot decide for them.

MythIf the person relapses, the body will have a severe reaction

FactWith a psychotherapeutic method, no medications are given, so there is no physical reaction like the one with medication-based coding. A relapse is a reason to see the doctor and review the treatment, not a reason to panic.

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 Astana

Consultation and assessment before the procedure10 000 ₸
Procedure (standard)50 000 ₸
Procedure (extended)80 000 ₸
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 Astana: 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 — 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. When indicated, we arrange admission and transport.

Confidential and private

in Astana 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

How is the Dovzhenko method different from medication-based coding?

With the Dovzhenko method, no medications are given: it is psychotherapeutic suggestion. Medication-based coding uses drugs that cause an unpleasant reaction to alcohol or reduce cravings. The choice depends on the person’s health, preferences and motivation and is made together with the doctor.

How long does one need to stay sober before the session?

Usually a period of sobriety of at least 1–2 weeks is needed, but the exact period is set by the doctor after a consultation. If the person is drinking now, start with detox. It is important that they come to the session sober, rested and calm, with no lingering withdrawal symptoms.

Can relatives be present at the session?

At the consultation — yes, if the patient agrees. The session itself usually takes place one-on-one with the doctor so the person can concentrate. After the session, the psychotherapist will explain to relatives how to support sobriety at home and what to avoid in the first months.

How effective is the method?

The result depends above all on the patient’s motivation and follow-up work. There are no convincing large-scale studies proving the method’s advantage over other forms of psychotherapy, and we do not promise “100%.” For many people it becomes useful support, especially together with psychotherapy.

How can the family help after coding?

Do not drink in front of the person, especially in the first months, remove alcohol from the home, and support new activities — sports, summer walks along the Yesil River embankment, meeting friends without alcohol. Notice and praise their efforts. Do not set up checks or bring up the past.

Can the first consultation be held online?

Yes. Online is convenient if you work a demanding schedule or are in another city. The doctor will tell you about the method, assess the situation from your account and answer questions. But the session itself is held in person, at the clinic, after a face-to-face conversation with the patient and an assessment of their condition.

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

Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. Phone in Astana: +7 (700) 309-30-17.

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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See also

Dovzhenko method coding — in other cities

Duty team on call

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

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