Bipolar disorder treatment in Astana

Reviewed byArman Magzhanov, MDPsychiatrist, experience 24 years · updated 8 Nov 2026

Key facts

ICD-10 code

F31

Who conducts it

A psychiatrist; a psychotherapist provides psychoeducation and works with the family

Where

At the clinic, psychiatrist home visits, online follow-up, and inpatient care for severe episodes

Duration

Bringing an episode under control takes weeks; maintenance treatment is usually long-term, for years

Anonymity

Anonymous treatment with no registration at the state dispensary

When it's urgent

Suicidal thoughts, psychotic symptoms, or dangerous behavior during mania — call 103 or 112

Outcome

Fewer and milder episodes, a stable mood, and keeping one's job and family

What you should know

The family of a person with bipolar disorder lives as if on a swing. For several months, a husband barely gets off the couch and says life has lost its meaning, and then suddenly, within a week, he becomes a different person: he sleeps three hours a night, takes out loans for a “brilliant business,” texts friends at night, and argues with everyone. At first the family is glad the depression is over, then becomes frightened when the debts and conflicts arrive. Without a doctor, it is almost impossible to tell where personality ends and illness begins.

Bipolar disorder is chronic but well controllable: with the right treatment, many people work, raise children, and live full lives for years. In Astana, families often seek help for the first time when a manic episode leads to problems at work or large expenses. A Narcology 24 psychiatrist helps make the diagnosis, select therapy, and draw up a plan with the family: which signs to track, what to do at the first symptoms, and when urgent help is needed.

Signs of Bipolar Disorder That Families Notice

• periods of deep depression alternate with periods of unusual elation
• during a high, the person sleeps 2–4 hours a night and doesn't feel tired
• they talk fast, jump from topic to topic, and are hard to interrupt
• they make big purchases, take out loans, and start risky projects
• they become irritable and short-tempered when contradicted
• they voice ideas about having a special mission or exceptional abilities
• in the depressive phase, they talk about life being meaningless and about thoughts of death

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 Bipolar Disorder Develops

Heredity plays a leading role in bipolar disorder: the risk is higher if relatives have had the disorder or severe depression. Episodes can be triggered by stress, lack of sleep, crossing time zones, use of alcohol and psychoactive substances, and childbirth. Sometimes mania is provoked by taking antidepressants without a mood stabilizer in a person with unrecognized bipolar disorder, which is why an accurate diagnosis is so important.

Bipolar disorder often goes unrecognized for a long time: during depression the person seeks help, while manic or hypomanic episodes seem to them and those around them like periods of feeling well. Relatives who see the person all the time often notice these highs better than a doctor does. Your account of past episodes — when they happened, how long they lasted, and how the person behaved — is especially valuable for making a diagnosis.

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