Aftercare after rehab in Astana

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

Key facts

Who provides care

A psychotherapist, an addiction counselor, and an addiction doctor; a psychiatrist if needed

Where

The clinic, online sessions, support groups, consultations for relatives

Duration

6–12 months: weekly at first, then once every 2–4 weeks

Confidentiality

Medical confidentiality, no registry, confidentiality for the family

When it’s urgent

A relapse with binge drinking, overdose, psychosis, suicidal thoughts — call 103 or 112

Outcome

Lasting sobriety, a return to work and family, and early detection of relapse risk

What you should know

Relatives often await discharge day with both hope and anxiety. At the center, things were safe: a routine, a group, specialists close by. At home there are old habits, familiar streets, work, stress, and sometimes the old crowd. Many relapses happen precisely in the first weeks after returning home. Aftercare following rehab is a bridge between treatment and ordinary life that helps both the patient and the family get through this transition.

In Astana, coming home often coincides with difficult circumstances: the person returns to a job with a packed schedule, lives in a district where everything is a reminder of the past, or goes back to their home region and loses touch with their group. In winter, short days and less physical activity add to this. That is why we offer a flexible format: sessions at the clinic, online sessions, consultations for relatives at a convenient time, and quick contact with a specialist at the first warning signs.

What the family should watch for after a loved one’s discharge

• whether they keep to the agreements: sessions, groups, taking prescribed medication
• how their sleep, appetite, and mood change during the first weeks at home
• whether contacts with the old crowd associated with substance use reappear
• whether they are coping with their workload or taking on too much at once
• whether irritability, withdrawal, or secrecy is building up
• whether they talk openly about cravings or hide them and downplay their difficulties
• how you yourself are feeling: whether there is exhaustion, fear, or an urge to control everything

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 the first months after rehab matter so much

After discharge, the person faces the same triggers as before treatment, but now without constant support from specialists. Addiction-related changes in the brain recover gradually, and in the first months cravings, mood swings, and insomnia are still possible. International guidelines, including NICE, emphasize the need to continue psychosocial support after the core course in order to reduce the risk of relapse.

Coming home is a test for the family as well. Relatives may expect immediate changes, be afraid, try to control, or, on the contrary, relax and stop noticing warning signals. Old roles return quickly if they aren’t discussed. Aftercare helps everyone involved adjust to the new life, preserve what has been achieved, and notice in time if something is going wrong.

How we help

Myths and facts

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

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

Where to get help

In astana you can get help at home, at one of our two branches (6 Auezova St., office 37, Astana, 176 Imanova St., Astana) or online if you need a consultation rather than a procedure. The dispatcher answers 24/7 and will tell you straight away which option is safest.

Confidential and private

Information about your request, diagnosis and treatment is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”. We do not share it with employers, schools, the police or neighbours; the only exceptions are those expressly set by law. A first name is enough to call us, and paid confidential treatment does not mean a registry entry.

Questions and answers