Outpatient and online rehab in Astana

Reviewed byNurlan Isayev, MDAddiction psychiatrist, experience 10 years · updated 8 Nov 2026

Key facts

Who provides care

A psychotherapist, an addiction counselor, an addiction doctor for medical monitoring, and a psychiatrist when indicated

Where

Sessions at the clinic in Astana and online by video call; for the family, in person or remotely

Duration

3–6 months, with 2–4 sessions a week at the start and fewer later; support for up to a year

Confidentiality

Medical confidentiality, no registry, online sessions over a secure connection

When it’s urgent

Severe withdrawal, psychosis, seizures, overdose, suicidal thoughts — call 103 or 112

Outcome

Sobriety without leaving work and family, relapse prevention skills, support from loved ones

What you should know

Many families put off treatment because “he can’t quit his job,” “she has small children,” or “inpatient care is shameful.” Outpatient rehab solves this problem: the person stays in their own life and at the same time completes a full program. For relatives, this means that recovery happens right before their eyes, and it is important for them to understand how to offer support without turning into wardens. That is what this page is about.

For Astana residents with a packed schedule, for people who live in Kosshy or Koyandy and spend an hour commuting, or for families where a loved one works on a rotational shift basis, the online format is often the only realistic option. Evening video sessions, group sessions after work, and consultations for relatives at a convenient time all make it possible to keep up with treatment despite traffic jams and winter frost. But the format isn’t right for everyone, and we tell you honestly when inpatient care is needed.

Which loved ones the outpatient or online format suits

• the person has already completed detox and is physically stable
• there is at least some motivation: they themselves agree to attend sessions
• no other family members are actively using at home
• work, studies, or small children make it impossible to go away to a center for a long time
• support is needed after inpatient care to avoid relapsing at home
• they live outside the city or in another region, so frequent travel is impossible
• the addiction is of moderate severity, without serious mental health complications

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.

How outpatient rehab differs from inpatient rehab

In inpatient care, the person is temporarily isolated from triggers and their usual environment, whereas in an outpatient program they learn right away to cope with these in real life: at work, at home, and in company. This is both an advantage and a challenge. International guidelines, including NICE, regard outpatient psychosocial programs as the main format for many people with moderate addiction and a stable home situation.

The online format keeps the key elements: individual therapy, groups, homework, and monitoring of the person’s condition. It is convenient but requires discipline and a safe place for sessions. It is important for the family to understand that outpatient treatment does not mean “half measures.” It is a full program, but with greater responsibility on the person themselves, which is why the role of calm support from loved ones is especially important here.

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