PTSD treatment in Astana

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

Key facts

ICD-10 code

F43.1

Who conducts it

A psychiatrist; a psychotherapist provides trauma-focused psychotherapy

Where

At the clinic, video consultations, and home visits when avoidance is severe

Duration

A course of psychotherapy usually lasts from several weeks to several months

Anonymity

Anonymous treatment with no registration on any registry; all information is protected by medical confidentiality

When it's urgent

Suicidal thoughts, aggression, or severe intoxication — call 103 or 112

Outcome

Fewer flashbacks and nightmares and a return to everyday life and relationships

What you should know

Loved ones of people with PTSD often say, “He came back a different person.” A husband who was in a bad crash on the highway no longer gets behind the wheel and jumps up at night from nightmares; a daughter who was assaulted has stopped going out in the evening and flinches at every noise; a brother who served in the military or worked in an emergency zone has become irritable and withdrawn and has started drinking. Relatives try not to touch the painful subject but don't know how long to wait or how they can help.

PTSD is not weakness or “being too sensitive” but an understandable reaction of the mind to overwhelming strain, and it responds well to treatment. In Astana, help is most often needed by people after road accidents — especially in winter, when black ice and snowstorms on the highways increase the risk — and after assaults, bereavements, or work in emergency services. A Narcology 24 psychiatrist helps both the survivor and those around them: explains how to talk about the trauma and when it is better not to ask questions.

Signs of PTSD That Relatives Notice

• the person relives the event again and again, as if it were happening right now
• they are tormented by nightmares, scream in their sleep, and are afraid to fall asleep
• they avoid places, people, conversations, and films that remind them of what happened
• they are constantly on guard, flinch at sudden sounds, and can't stand crowds
• they have become irritable and short-tempered and have outbursts of anger
• they have withdrawn from the family, feel empty, and say they don't feel anything
• they have started drinking more often or taking sleeping pills to fall asleep and “not remember”

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 PTSD Develops After Trauma

After a traumatic event, most people experience anxiety, poor sleep, and intrusive memories during the first few weeks — this is a natural reaction. PTSD is diagnosed when the symptoms last longer than a month and interfere with life. The likelihood is higher with repeated or prolonged trauma, a lack of support after the event, abuse experienced in childhood, coexisting depression, or alcohol misuse.

In PTSD, the memory of the event doesn't “settle” into the past and keeps triggering a strong reaction, as if the danger were still close. Avoidance and constant vigilance keep this state going. Sometimes the symptoms don't appear right away but months later. Relatives need to know that the person is not pretending or “staying stuck on purpose”; they need professional help and a patient, non-judgmental attitude at home.

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

“PTSD treatment” in Astana is available 24/7, including weekends. Home visits: all city districts and nearby settlements. For appointments, Narcology 24 has two branches: 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. If you live elsewhere in Astana and Akmola Region, call us and we'll advise the fastest way to get help.

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