Alcoholism treatment in Astana

Reviewed byRinat Zhumabekov, MDAddiction psychiatrist, experience 21 years · updated 8 Nov 2026

Key facts

ICD-10 code

F10.2

Who provides it

An addiction doctor and a psychotherapist; a psychiatrist if needed

Where

At home in any district of Astana, in an inpatient unit, or as an outpatient

Duration

Acute stage — 1–7 days; recovery — weeks and months

Anonymity

No registry; medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health”

When it is urgent

Delirium tremens, seizures, chest pain, vomiting blood — call 103 or 112

Outcome

Ending the binge, reduced cravings, a sobriety plan, and a family on the mend

What you should know

When a family first says the word “alcoholism,” there are usually years behind it. First there were holidays and Friday get-togethers, then “unwinding after work,” then hangovers cured with another drink. Relatives hope for a long time that it will pass on its own, especially if the person works, provides for the family, and does not fit the image of “a drinker.” But alcohol dependence is a disease, and the sooner treatment starts, the more health and relationships can be preserved.

In Astana, families often face a particular problem: a heavy workload and the habit of relieving stress with alcohol are seen as normal. A person can hold on to their job for years while everything at home falls apart. Narcology 24 specialists work both with the patient and with loved ones, explaining how to maintain sobriety and what to do in case of a relapse. We do not promise “forever,” but we help build a life in which alcohol is no longer at the center.

Signs of Alcoholism the Family Notices

• the person cannot stop after the first drink and keeps drinking until fully intoxicated
• in the mornings, shaking hands, sweating, and anxiety appear and go away after a drink
• the amount consumed gradually increases, and the usual “limit” no longer has an effect
• drinking becomes more important than family, hobbies, work, and seeing friends
• the person hides bottles, drinks alone, and lies about how much they drink
• memory blackouts appear about the previous evening and where he was
• he keeps drinking despite problems with his health and in the family

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.

Why Alcoholism Develops — and Why It Matters for the Family to Understand

Alcohol dependence is made up of many factors: heredity, characteristics of the nervous system, chronic stress, anxiety and depression, and the habits of the people around them. It cannot be said that the person is “simply weak-willed.” Alcohol gradually changes how the brain systems responsible for pleasure and self-control work, and giving it up becomes harder and harder. Understanding this helps the family blame less and act more.

Many Astana residents have their own triggers: long, dark winters, frosts, being cut off from family, rotational or shift work, and a corporate culture with obligatory feasts. In winter, intoxication is more dangerous: a person may fall asleep at a bus stop or in a courtyard and suffer hypothermia. It is important for the family to know where the person is and not to leave them alone outdoors in this state.

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

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