Dovzhenko method coding in Khromtau

Reviewed byOlga Smirnova, MDAddiction psychiatrist, experience 27 years · updated 8 Nov 2026

Key facts

ICD-10 code

F10.2

Who provides it

A psychiatrist-narcologist or a psychotherapist trained in suggestion-based methods

Where

At the clinic in Khromtau; the session takes place in a calm setting, individually or in a group

Duration

The preparatory conversation and session take 1.5–3 hours; the commitment lasts for a period chosen with the patient

Confidentiality

No documents and no registry entry; information about the session is protected by medical confidentiality

When it is an emergency

Thoughts of self-harm, acute anxiety or psychotic symptoms — call 103 or 112

Outcome

A psychological commitment to sobriety as part of a comprehensive treatment program

What you should know

The method was developed in the USSR in the 1980s as a form of stress psychotherapy and became widespread in CIS countries under the name “coding.” Its essence is suggestion delivered in a state of heightened receptiveness, reinforced by the emotionally charged setting of the session. It is important to understand that international clinical guidelines (WHO, NICE) do not list the method among treatments with proven effectiveness; its results depend largely on the patient's motivation and suggestibility.

A Narcology 24 doctor provides Dovzhenko coding in Khromtau honestly, without mystification: they explain that it is a psychotherapeutic technique, not “brain programming,” and that the result is sustained by the person's own decision. The method can be useful for those who cannot have medication-based treatments and for those who respond well to suggestion. A conversation, an assessment of mental state and a sobriety check are mandatory before the session.

Who the Dovzhenko method is suitable for

• people with alcohol dependence who themselves want to stop drinking
• those who cannot have medication-based methods because of heart or liver disease
• patients who respond well to suggestion and emotional support
• those who are ready to stay sober for the required period before the session
• people who prefer methods that do not involve medication
• those who are also in psychotherapy or attend support groups
• people without psychotic disorders, epilepsy or severe depression

If heavy drinking has lasted more than two or three days, or there is shaking, vomiting, blood-pressure spikes or insomnia, you need a doctor rather than stopping alone. Phone advice is free. For seizures, confusion or hallucinations call 103 or 112.

How suggestion-based psychotherapy works

Suggestion is a natural psychological phenomenon: the words of an authoritative specialist in an emotionally intense situation can shape lasting attitudes and expectations. The Dovzhenko method uses this to reinforce the patient's decision not to drink. Preparation, belief in the method, the ritual of the session and later reminders of the commitment made all play a part.

The method's limitations stem from the fact that it does not affect the biological mechanisms of dependence and does not teach skills for coping with cravings and stress. If a person does not agree with the decision to stay sober or has come under pressure from relatives, the effect will be weak. That is why the doctor regards the session not as a stand-alone treatment but as one tool alongside psychotherapy and family support.

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 Khromtau

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 Khromtau: 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 — 105 Lenina St., Khromtau and 121 Abaya St., office 11, Khromtau. When indicated, we arrange admission and transport.

Confidential and private

in Khromtau 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