Reviewed byZhanar Tulegenova, MDPsychiatrist and psychotherapist, experience 18 years · updated 8 Nov 2026
Key facts
- ICD-10 code
- F11–F19
- Who provides care
- An addiction doctor, a psychiatrist, a psychotherapist, an addiction counselor, and a family work specialist
- Where
- Inpatient detox, a rehab center, day and online programs
- Duration
- Detox: 7–14 days; rehab: 2–6 months; aftercare: up to 12 months
- Confidentiality
- Medical confidentiality under the Code of the Republic of Kazakhstan, no registry, no data shared
- When it’s urgent
- Overdose, slow breathing, seizures, psychosis, suicidal thoughts — call 103 or 112 immediately
- Outcome
- Stable remission, relapse prevention skills, restored relationships and social life
What you should know
For parents and spouses, the news about drugs often sounds like a death sentence. But addiction can be treated, and people do recover and return to their studies, work, and families. The path is not quick: detox relieves physical withdrawal within days, but restoring thinking, emotions, and the skills to live without substances takes months. Rehab is precisely the part of treatment where a person learns not just to “not use,” but to live differently.
We understand how frightening it is for relatives in Astana when a loved one lives separately, in another district — on the right bank in Saryarka or on the left bank in Nura — and you don’t know what is happening to them. Or when the family lives in another region while their son studies in the capital. We consult relatives online and in person, help arrange detox, and help choose a rehab format. Start with a conversation with a specialist — no obligations and no judgment.
Signs that rehab is needed, not just detox
- after detox, the person quickly returns to using
- cravings, insomnia, irritability, and low mood persist while sober
- their social circle is still connected to drugs, and they can’t break away from it
- debts, trouble with the law, or loss of work or studies have appeared
- switching to other substances or alcohol after giving up a drug
- there is depression, anxiety, or the aftermath of trauma that was being “numbed” with substances
- the family is exhausted, and previous attempts to help have only made conflicts worse
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 detox alone is not enough
Drug addiction (categories F11–F19 in ICD-10) changes the brain’s reward, memory, and self-control systems. After withdrawal, these changes persist for months: the person experiences cravings, boredom, and anxiety, and finds it hard to enjoy ordinary things. This is the period when relapses happen most often. That is why the WHO and international guidelines treat rehab as an essential stage after detox.
Rehab addresses both causes and consequences: trauma, depression, loneliness, social circle, communication skills, and self-image. The family plays a big role: if conflict, control, and mistrust persist at home, it is harder for the person to stay clean. That is why programs always include work with relatives — from consultations to joint family sessions.
How rehab works: from detox to aftercare
First comes a consultation for the family or the patient, in person in Astana or by video: the doctor clarifies which substances, the length of use, health status, and motivation. Then comes detox, usually in a hospital setting under medical supervision. After that, a psychiatrist and psychotherapist carry out an assessment and the format is chosen: a residential rehab center, a day program, or outpatient care with online sessions. The program includes individual and group therapy, family work, and a relapse prevention plan.
Rehab cannot start without detox if there is physical dependence. Inpatient care is mandatory for severe withdrawal, combined use of several substances, psychosis, suicidal thoughts, or serious physical illness. Overdose, slow breathing, loss of consciousness, or seizures — call 103 or 112 immediately. Physical condition cannot be assessed online, so the online format is suitable for preparation, family work, and support after the core course.
How we help
Individual psychotherapy
The psychotherapist works with motivation, guilt, shame, and traumatic experiences, and teaches the person to recognize triggers and cope with cravings. Cognitive behavioral therapy, motivational interviewing, and trauma-focused methods are used. Sessions are regular, and in the outpatient program some of them can be held online.
Group work and community
A group provides a sense of belonging and the support of people who understand what the person is going through. Sessions cover relapses, relationships, and plans, and participants practice honesty and responsibility. We also tell people about 12-step mutual support groups, which help maintain results after the course ends.
Dual diagnosis treatment
If the person has depression, an anxiety disorder, bipolar disorder, or the aftermath of trauma, a psychiatrist prescribes treatment after an examination, alongside rehab. For opioid addiction, opioid receptor antagonists (opioid blockade) may be used when prescribed by a doctor, and only after an examination and with consent.
Family program and social reintegration
Relatives take part in consultations and family sessions and learn to offer support without control or rescuing. At the same time, the person restores a daily routine, returns to studies or work, and finds a new social circle and activities. A plan for leaving the program is drawn up in advance so that the transition home doesn’t end in failure.
Myths and facts
MythDrug addiction can’t be cured
FactAddiction is a chronic disease, and as with other chronic illnesses, stable remission is possible. Many people recover, especially with long-term rehab, family support, and aftercare following the course.
MythThe main thing is to isolate the person far away
FactIsolation without addressing the causes, the family, and life skills gives only a temporary result. Effective programs prepare the person to return to real life rather than simply cutting them off from it.
MythHe has to “hit rock bottom” on his own
FactWaiting for “rock bottom” is dangerous: with drugs, it can end in an overdose. Early help and family involvement increase the chances of treatment and of preserving health and life. It is worth acting now.
How a home visit works
- 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.
- 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.
- 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.
- 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.
- Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.
Prices in Astana
| Rehab programme consultation | 12 000 ₸ |
| Outpatient programme (one month) | 150 000 ₸ |
| Residential rehab (one month) | 400 000 ₸ |
| Phone advice | free |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
“Drug rehab” in Astana is available 24/7, including weekends. Home visits: all city districts and nearby settlements. For appointments, Narcology 24 has two branches: 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. If you live elsewhere in Astana and Akmola Region, call us and we'll advise the fastest way to get help.
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
Where should the family start once we’ve found out about drugs?
Don’t panic and don’t interrogate. Gather the facts and book a consultation for relatives — in person or online. A specialist will help you assess how urgent the situation is, prepare for the conversation, and choose a form of help. If there are signs of overdose or psychosis, call 103 or 112 first.
Is it necessary to stay at a rehab center?
Not always. If the condition is stable, the person is motivated, and there is support at home, an outpatient or day program with online sessions is suitable. With severe addiction, polysubstance use, frequent relapses, or an unfavorable environment, the residential format offers better chances. The decision is made after an assessment.
Will my school or employer find out?
No. Narcology 24 works on a paid, anonymous basis, without registration on the state dispensary registry. Treatment information is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System” and is disclosed only in cases expressly provided for by law.
Can I send my son to a center by force?
No. We do not use force and do not “take” people away. In the Republic of Kazakhstan, involuntary treatment is possible only by court decision, following the procedure established by law. Our specialists help the family motivate their loved one, and many people agree once they see they are not being judged.
What should we do if a relapse happens after rehab?
Don’t blame the person or give up on them. A relapse is a reason to quickly return to the specialist, figure out the causes, and adjust the plan. If there were signs of overdose, call 103 or 112. Aftercare following rehab is exactly what helps catch a relapse early.
How can I take care of myself while my loved one is in treatment?
Look after your own health and sleep, share the load within the family, and don’t stay alone with your fear. Psychotherapist consultations for relatives and mutual support groups for loved ones help you endure the long road. Your own recovery is also part of the family’s recovery.
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



