Online psychiatrist consultation in Astana

Reviewed byZhanar Tulegenova, MDPsychiatrist and psychotherapist, experience 18 years · updated 8 Nov 2026

Key facts

Who conducts it

A psychiatrist; if needed, one of the clinic's psychotherapists or psychologists joins the work with the family

Where

A video call from a smartphone or computer — at home, at work, or from another city

Duration

Usually 40–60 minutes; follow-up calls for ongoing support are arranged as agreed

Anonymity

Medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System,” no registration on any registry

When it's urgent

Threats to self or others, a suicide attempt, confusion, or aggression — call 103 or 112 right away, not an online service

Outcome

A clear plan for the family: keep watching, book an in-person appointment, request a home visit, or consider inpatient care

What you should know

Most often, the first people to come to an online consultation are not the patients themselves but their relatives: a wife who has watched her husband go without sleep and say strange things for three weeks; the mother of an adult son who has stopped leaving his room; a daughter who has noticed frightening suspiciousness in her father. You don't have to wait until the person agrees to see a doctor. A Narcology 24 psychiatrist can first talk only with you, go through the situation fact by fact, and suggest how to start the conversation at home.

The video format suits Astana's busy work schedules: you can call during your lunch break, in the evening after a shift, or at night, when worry about a loved one keeps you awake. There is no need to drive from the left bank to the right bank through frost and wind or to look for someone to watch the children. Many families live far from their parents — in Kosshy, Koyandy, or other regions — and an online call lets several relatives from different cities join one conversation and agree on a single plan.

When Families Should Book an Online Psychiatrist Consultation

• the person has been sleeping poorly, feeling low, or, on the contrary, unusually agitated for more than two weeks
• they voice strange ideas: that they are being followed, eavesdropped on, or that someone wants to harm them
• your loved one has withdrawn, quit work or school, and stopped taking care of themselves
• outbursts of anger have appeared that were never there before, and the atmosphere at home has become tense
• you can't tell whether this is an illness, a personality trait, or the effects of alcohol and other substances
• the person refuses to see a doctor, and you need advice on what to do
• after discharge from the hospital, ongoing support and monitoring of their well-being are needed

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 It Helps Families to Start With an Online Conversation

Relatives usually notice changes before anyone else but don't know what to call them. In a calm conversation, the doctor asks clarifying questions: when it all started, how the person is sleeping and eating, whether there have been similar episodes before, whether there is a family history of mental disorders, and whether they use alcohol or other substances. Your answers build a picture that helps the doctor understand how urgent the situation is and which specialist to see.

The second reason is to ease the confusion within the family. Relatives often argue among themselves: some believe “it will pass on its own,” while others are ready to call an ambulance. The psychiatrist explains which signs are truly dangerous and which can be monitored, and helps everyone agree on a single approach. This is especially important when relatives have spread out across different districts of Astana or live in other cities and can only help by phone.

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