Psychiatrist home visit in Astana

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

Key facts

Who conducts it

A clinic psychiatrist; if indicated, together with an addiction medicine specialist (narcologist) when there are signs of substance use

Where

The patient's apartment or house in any district of Astana and its suburbs

Duration

Usually 1–1.5 hours on site; arrival time depends on the district and traffic

Anonymity

Medical confidentiality, no registration at the state dispensary; an unmarked car

When it's urgent

Aggression with a weapon, a suicide attempt, severe confusion, or seizures — call 103 or 112 first

Outcome

An assessment of the condition and risks, recommendations, and, if necessary, treatment or referral to inpatient care

What you should know

Relatives call a psychiatrist to the home when they realize there is no way to get the person to a clinic. A father hasn't left the apartment for a week and is convinced the neighbors are poisoning him with gas; a grandmother packs her things at night to “go home,” even though she is at home; an adult son, after a day and night without sleep, talks quickly and without pause. At home, the person is calmer, and the doctor sees not only them but also the environment they live in, which allows a more accurate assessment of what is happening.

Narcology 24 psychiatrists make home visits across Astana around the clock — to the Yesil, Saryarka, Almaty, Baikonur, and Nura districts, as well as to Kosshy and Koyandy. In winter this is especially important: driving an anxious or confused person across the city in frost and wind and trying to persuade them in the car is a hard ordeal for both them and the family. The doctor comes to you, and the administrator gives you instructions in advance on how to prepare and what to tell your loved one before the visit.

When Families Should Call a Psychiatrist to the Home

• the person refuses to leave the house, but their behavior frightens the family
• ideas of persecution, poisoning, or a “conspiracy” by neighbors or colleagues have appeared
• an elderly relative mixes up day and night, doesn't recognize family members, and wanders around the apartment
• there has been almost no sleep for several days, speech is rapid, and spending and actions have become risky
• your loved one has stopped eating and washing, lies in bed all day, and doesn't respond to anything
• after discharge from the hospital, their condition is getting worse again, and they refuse to go back
• you're not sure whether hospitalization is needed and want a doctor to assess this on the spot

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 a Home Examination Is Sometimes More Accurate Than a Clinic Visit

In a doctor's office, many people pull themselves together and try to look “normal,” while at home the things the family sees every day come out. The doctor notices how the person behaves in their own room, whether the windows are covered, whether there are stockpiles of “protective” items, traces of alcohol use, or empty medication packages. These details help distinguish, for example, depression from psychosis, or confusion in an elderly person from a flare-up of a chronic physical illness.

For the family, a home visit is also a chance for everyone who lives there to get answers at once. The psychiatrist explains what is happening, what the risks are right now, how to behave in the evening and at night, what to put out of reach, and when to call 103. For many people who have moved to Astana from other regions and don't have a large family network in the city, it is especially important that the doctor helps build a plan without long trips between institutions.

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

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