Insomnia treatment in Astana

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

Key facts

ICD-10 code

F51.0

Who conducts it

A psychiatrist; a psychotherapist provides cognitive behavioral therapy for insomnia

Where

At the clinic or by video consultation, with a sleep diary kept at home

Duration

A course of CBT-I usually takes 6–8 weeks, followed by maintenance sessions

Anonymity

Anonymous, with no registration at the state dispensary

When it's urgent

Several days without sleep combined with agitation or strange ideas — see a doctor urgently; if there is a threat, call 103

Outcome

Restored ability to fall asleep and deeper sleep, and an end to uncontrolled use of sleeping pills

What you should know

Insomnia rarely affects just one person: the whole family loses sleep along with them. A wife hears her husband pacing the kitchen at three in the morning; the children notice that their mother is irritable and distracted in the morning; an adult son secretly takes sleeping pills that an acquaintance once gave him and can no longer fall asleep without them. Loved ones suggest “a drink before bed,” buying melatonin, or simply going to bed earlier, but for months nothing changes, and the fatigue builds up.

In Astana, insomnia is fueled by particular conditions: long winter nights and short daylight hours, shift work and overtime, night shifts for many who have moved from other regions, and late commutes between the Yesil and Baikonur districts. A Narcology 24 psychiatrist helps you understand what lies behind the sleep problem and select treatment that restores natural sleep rather than creating dependence on pills. Relatives receive advice on how to support a healthy routine at home.

When a Loved One's Insomnia Is a Reason to See a Doctor

• several times a week, the person takes more than half an hour to fall asleep or lies awake for hours
• they wake up at night and can't fall back asleep, and get up at dawn feeling worn out
• sleep problems have lasted more than a month and don't go away after a vacation
• during the day they are irritable and distracted and doze off at the wheel or at work
• they take sleeping pills or alcohol every evening and can no longer fall asleep without them
• the insomnia is accompanied by low mood, anxiety, or thoughts of death
• they have gone several nights with almost no sleep yet are energetic, active, and full of unusual plans

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.

What Lies Behind Insomnia

Insomnia often begins after stress — an illness, a conflict, a move — and then becomes entrenched because of unhelpful habits: lying in bed awake for a long time, daytime naps, using the phone in bed, and evening coffee and energy drinks. The person starts to dread the night, and the fear itself keeps them from falling asleep. This is how chronic insomnia develops, and it can persist long after the original cause has disappeared.

Insomnia is often a symptom of another problem: depression, an anxiety disorder, PTSD, alcohol misuse, physical illnesses, or certain medications. A sharp reduction in sleep without tiredness can be the first sign of a manic episode in bipolar disorder or of developing psychosis. That is why it is important for relatives not to treat the sleep problem with “something from the medicine cabinet” but to have the person seen by a doctor.

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