Reviewed byNurlan Isayev, MDAddiction psychiatrist, experience 10 years · updated 8 Nov 2026
Key facts
- Who provides care
- a psychiatrist, a psychotherapist, and a psychologist; for children, with the involvement of parents
- Where
- outpatient appointments in Konaev, online by video call, and inpatient care for severe conditions
- Duration
- psychotherapy usually lasts 3–6 months, followed by maintenance sessions
- Anonymity
- confidential, with no registry entry, protected by medical confidentiality
- When it is urgent
- aggression, threats, suicidal thoughts, or refusal to eat and sleep — call 103 or 112
- Outcome
- control over time spent online and restored sleep, studies, work, and social life
What you should know
Definition. In ICD-11, gaming disorder has the code 6C51. The diagnosis is made if a person has lost control over gaming, gives it priority over other interests and responsibilities, and keeps playing despite negative consequences for at least 12 months. ICD-10 has no separate category for it; such conditions are classified as habit and impulse disorders. Problematic use of social media and the internet has not yet been defined as a separate diagnosis, but specialists approach it according to the same principles.
It is important to distinguish a hobby from a disorder. Spending a lot of time gaming is not an illness in itself: what matters is loss of control and harm to a person's life. Excessive gaming or endless scrolling is often a way of coping with anxiety, loneliness, depression, or difficulties at school or work. That is why at Narcology 24, help for internet and gaming addiction in Konaev begins with an assessment by a psychiatrist, who checks whether another disorder lies behind the behavior, and then a psychotherapist joins the process.
Signs of Internet and Gaming Addiction
- the person cannot limit their time gaming or on social media, even though they try
- gaming or the phone crowds out studies, work, sleep, meals, and meeting people
- when access is restricted, irritability, aggression, or anxiety appear
- gaming continues through the night, the sleep schedule is disrupted, and daytime drowsiness has appeared
- the person hides or downplays how much time they actually spend online
- significant spending on in-game purchases, loot boxes, and donations
- grades, work performance, and interest in offline activities have declined
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 Gaming and Internet Addiction Develops
Video games and social media are built on reinforcement mechanisms: rewards, levels, notifications, an endless feed, and random wins in loot boxes. They stimulate the brain's reward system and build a habit of quickly returning to the device. The risk is higher in teenagers, whose self-control systems are still maturing. The online environment is available around the clock, so the habit takes hold faster than with other forms of leisure.
Risk factors described by the WHO and clinical research include ADHD, anxiety and depressive disorders, social anxiety, communication difficulties, bullying, family conflicts, loneliness, and low self-esteem. In the online world, a person can feel successful and accepted — something they lack offline. That is why simply switching off the internet without addressing the underlying causes often leads to conflicts and a quick return to the old behavior.
How Help Works: Step by Step
Stage 1 — a consultation with a psychiatrist in person or online: an assessment of how much and in what way devices are used, sleep, mood, anxiety, and the situation at school or work, and ruling out other disorders. For children, the first session is often held with the parents. Stage 2 — a plan: goals, rules for device use, and how often sessions take place. Stage 3 — a course of psychotherapy, usually once a week. Stage 4 — preventing a return to the old behavior and maintenance sessions.
Limitations. Online psychotherapy for internet addiction is acceptable, but sometimes it is better to hold the first sessions in person to shift the focus away from the screen. The outpatient format is not enough in cases of severe depression, aggression, refusal to eat or sleep, or psychotic symptoms. If suicidal thoughts or threats are voiced, call 103 or 112. Children and teenagers can get support from the 150 helpline.
How we help
Cognitive behavioral therapy
CBT is the most thoroughly studied method for gaming addiction. The psychotherapist helps the patient recognize the thoughts and situations that trigger gaming, learn to plan their time, and gradually bring back offline activities. A self-monitoring diary is used: when, how much, and why the person plays. The goal is not a lifelong total ban but controlled, safe use.
Family therapy
For teenagers, family therapy is a key element. Parents learn to set rules without constant conflict, agree on gaming time, and support the child's other interests. The psychotherapist helps find a balance between control and trust. Sessions are held with the whole family or separately with the parents.
Treatment of co-occurring disorders
ADHD, depression, anxiety disorders, and social anxiety often underlie excessive gaming and social media use. A psychiatrist carries out the diagnosis and prescribes treatment if needed, including medication. Once the co-occurring disorder is under control, it is easier for the person to give up gaming as a way of coping with emotions.
Digital hygiene
Practical measures reduce the likelihood of relapse: deleting apps from the phone, limiting screen time, turning off notifications, keeping devices out of the bedroom, and setting fixed times for gaming. These steps are agreed upon with the patient rather than imposed by force, and they become part of the overall treatment plan. It helps adults to plan offline activities for the evening in advance.
Myths and facts
MythIt is just fooling around and will pass on its own
FactGaming disorder is included in ICD-11. For some people, it is not a hobby but a condition involving loss of control and serious harm to studies, work, and health. Without help, it can last for years.
MythIt is enough to take away the phone or switch off the internet
FactAn abrupt ban without explanation often causes conflict, aggression, and attempts to find workarounds. Restrictions work when they are agreed upon and combined with psychotherapy and work on the causes of excessive use.
MythIf a person plays a lot, they are addicted
FactWhat matters is not the number of hours but loss of control and harm to a person's life. Someone can play a lot and still cope with their studies, work, and social life. The diagnosis is made by a specialist after a conversation and assessment.
How a home visit works
- 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.
- 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.
- 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.
- 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.
- Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.
Prices in Konaev
| Initial addiction doctor consultation | 9 500 ₸ |
| Inpatient detox (per day) | 28 000 ₸ |
| Psychotherapy course (8 sessions) | 77 000 ₸ |
| Phone advice | free |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
“Internet and gaming addiction” in Konaev is available 24/7, including weekends. Home visits: all city districts and nearby settlements. For appointments, Narcology 24 has two branches: Building 28, Microdistrict 5, Konaev and 19 Bayterekova St., office 34, Konaev. If you live elsewhere in Almaty Region, call us and we'll advise the fastest way to get help.
Confidential and private
in Konaev 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
How can I tell that my child needs help from a specialist?
Warning signs include falling grades, sleep problems, giving up former activities and friends, aggression when gaming is restricted, and lying about time spent online. If such signs persist for several months, it is worth seeing a psychiatrist or psychotherapist, at least for a consultation for parents.
Can internet addiction be treated online?
Yes, the online format is used, especially for consultations with parents and adult patients. At the same time, the psychotherapist may recommend holding the first sessions in person. In this case, online sessions are structured so as not to reinforce the habit of sitting in front of a screen.
Are medications prescribed?
There are no specific medications for gaming addiction. A psychiatrist prescribes medications if ADHD, depression, an anxiety disorder, or sleep problems are identified. Psychotherapy and work with the family remain the foundation of help.
How long does treatment take?
A course of psychotherapy usually takes 3–6 months with one session per week. For teenagers, the length depends on family involvement and the presence of co-occurring disorders. After the main course, maintenance sessions are recommended.
What should I do if a teenager becomes aggressive when I try to take away their phone?
Do not get into a physical confrontation; give them time to calm down. Discuss the rules later, in a calm setting. If the aggression is life-threatening or there are threats of suicide, call 103 or 112. A consultation with Narcology 24 specialists will help you work out the right approach.
Do parental controls and blocking tools help?
Technical restrictions are useful as part of a plan, especially for children. However, without explanations and agreements, they often cause conflicts and attempts to find workarounds. It is better to introduce restrictions together with the child while working on the causes of excessive gaming at the same time.
Where do doctors visit in Konaev and where are the branches?
Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: Building 28, Microdistrict 5, Konaev and 19 Bayterekova St., office 34, Konaev. Phone in Konaev: +7 (700) 309-30-65.
Sources and methodology
This page was prepared by the Narcology 24 medical editorial team based on:
- International Classification of Diseases ICD-10 and ICD-11, World Health Organization
- Clinical diagnosis and treatment protocols of the Ministry of Health of the Republic of Kazakhstan
- Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”
- NICE (UK) guidelines on alcohol and drug misuse and mental health conditions
- WHO recommendations on the treatment of substance use disorders
This information is for reference only and does not replace a consultation with a specialist. Editorial policy
