Beer alcoholism 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 general practitioner or endocrinologist if indicated

Where

At the clinic, at home in Astana, or online

Duration

Consultation — about an hour; treatment program — from several weeks

Anonymity

No registry; data protected by medical confidentiality

When it is urgent

Seizures, hallucinations, chest pain, vomiting blood — call 103 or 112

Outcome

Giving up daily beer and restoring health and relationships

What you should know

“But he only drinks beer” is one of the phrases addiction doctors hear most often from relatives. A bottle in the evening in front of the TV, a couple of cans on the weekend, then more — and soon not a single evening goes by without beer. The family does not see it as a problem for a long time, because the person is not lying in the street or disappearing on binges. But addiction is defined not by the strength of the drink but by the loss of control and the harm that drinking causes.

In Astana, beer often becomes a way to “decompress” after a shift or a long work week, especially for men who have come from the regions and live away from their families. Loved ones do not notice the changes right away: a growing belly, swelling, irritability, unwillingness to do anything. Narcology 24 specialists help the family figure out where the line between a habit and a disease lies, and how to offer help without provoking mockery or denial.

Signs of Beer Alcoholism That Loved Ones Notice

• beer has become a daily habit, and an evening without it causes irritation
• the number of cans or bottles per evening gradually increases
• the person drinks beer in the morning or at lunch to “pull himself together”
• facial swelling, a large belly, shortness of breath, and high blood pressure have appeared
• he has become sluggish and lacking in initiative and has lost interest in his family and hobbies
• he gets offended or angry when reminded of how much beer he drinks
• in the morning without beer, shaking, sweating, and anxiety appear

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 Beer Alcoholism Is So Insidious

Beer is seen as a harmless drink; it is advertised as part of leisure and sports and drunk with friends and in front of the TV. Because of this, dependence forms unnoticed and for a long time causes no alarm either for the person or for the family. Yet the amount of alcohol consumed can be very large, and the strain on the body significant — especially on the heart, liver, and pancreas.

Large volumes of liquid and regular drinking take a toll on the heart, kidneys, metabolism, and weight. Over time, hypertension, heart rhythm disorders, fatty liver disease, and pancreatic problems develop. Psychologically, beer alcoholism is often accompanied by apathy, loss of motivation, and depression. That is why treatment addresses both the body and the person’s accustomed way of life.

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

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