Reviewed byArman Magzhanov, MDPsychiatrist, experience 24 years · updated 8 Nov 2026
Key facts
- Who provides it
- A psychiatrist and, if needed, a psychotherapist
- Where
- In the clinic's office, at home or by video call
- Duration
- First consultation 40–60 minutes
- Anonymity
- No ID and no dispensary registration; the record is kept under a code
- When it is urgent
- Suicidal thoughts, psychosis, aggression — call 103 or 112
- Outcome
- A preliminary diagnosis, a treatment plan and written recommendations
What you should know
An anonymous psychiatrist consultation is a way to get qualified help without disclosing your personal details and without fear of consequences for your work or studies. The patient can give just a first name or a pseudonym, and the medical record is kept under a code. The scope of the consultation is not reduced: the doctor conducts a full clinical interview, assesses your mental status and any risks, forms a preliminary diagnosis and offers a treatment plan.
Many people put off seeing a psychiatrist for years out of fear of “ending up in the database.” A paid anonymous psychiatrist consultation in Kostanay is carried out without registration on the dispensary registry (the state psychoneurological dispensary, or PND, registry). The Code of the Republic of Kazakhstan “On Public Health and the Healthcare System” classifies information about seeking medical care, your state of health and your diagnosis as medical confidentiality. Disclosure without the patient's consent is allowed only in cases expressly listed in the law, for example at the request of a court or investigators.
Common Reasons for an Anonymous Consultation
- low mood, tearfulness, loss of interest in life and a sense of hopelessness
- anxiety that gets in the way of working, driving or socializing
- panic attacks, fear of leaving home or using public transport
- intrusive thoughts, rituals, and checking and rechecking things over and over
- chronic insomnia or nightmares after a stressful experience
- sharp mood swings from euphoria to a deep slump
- mental health symptoms combined with alcohol or other substance use
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.
What Anonymity Means Under Kazakhstan Law
Anonymous care is a type of paid medical service in which the patient does not present an identity document and the clinic does not pass any information to the state dispensary monitoring registries. Anonymity has its limits: a sick note or official certificates in a specific person's name cannot be issued, because they require identification. If you need such documents, this is discussed in advance, and the patient decides whether to disclose their details.
Medical confidentiality covers the fact that you sought care, your diagnosis, test results and any information about your private life obtained by the doctor. The exceptions are set out in the Code of the Republic of Kazakhstan and concern, for example, requests from a court or investigative authorities, or the threat of spreading dangerous infectious diseases. The clinic does not respond to ordinary requests from employers, relatives or acquaintances. Relatives receive information only with the patient's consent.
How an Anonymous Consultation Works
The procedure: 1) book by phone — you don't have to give a surname; 2) choose the format — office, home visit or video call; for online appointments, a link is sent in advance; 3) at the appointment, the doctor clarifies your complaints, medical history, and any medications and substances you take; 4) assessment of mental status and risks; 5) an explanation of the preliminary diagnosis in plain language; 6) a plan: treatment, tests and the next visit. Payment is not linked to your personal details.
An anonymous psychiatrist appointment in Kostanay does not change medical rules. In acute psychosis, after a suicide attempt or in severe intoxication, an outpatient consultation is not enough — emergency care via 103 or 112 or inpatient treatment is needed. Prescribing certain medications may require identification under Kazakhstan regulations. Documents for work, school, the military enlistment office or the traffic police cannot be issued anonymously.
How we help
Diagnosis
The main tool is a clinical interview following the structure of a psychiatric examination: complaints, life and illness history, family history, and assessment of consciousness, perception, thinking, mood and insight. Validated rating scales are used in addition. The diagnosis is formulated according to ICD-10, and the doctor explains to the patient in plain words what it means.
Medication treatment
When indicated, the psychiatrist prescribes medications from the appropriate class and explains when to expect an effect: antidepressants usually start working after 2–4 weeks. The patient receives instructions on taking the medication and monitoring side effects, and is told not to stop it abruptly on their own. Treatment is selected individually.
Psychotherapy
Cognitive behavioral therapy is effective for anxiety, depressive and stress-related disorders; NICE guidelines recommend it as a first-line treatment for many conditions. The Narcology 24 psychotherapist works anonymously, does not prescribe medication and coordinates the plan with the psychiatrist. A course usually consists of 8–20 sessions, in person or online.
Monitoring and ongoing support
After the first consultation, follow-up visits are scheduled — in person or online — to assess the effect and tolerability of treatment and adjust it if necessary. How long monitoring lasts depends on the diagnosis: from a few weeks for mild conditions to many months for recurrent disorders. Visits are anonymous.
Myths and facts
MythAnonymous means lower quality
FactAnonymity applies only to the patient's personal details. The scope of diagnosis, the doctor's qualifications and the treatment standards are the same as for a regular appointment. A full medical record is kept — simply under a code instead of a surname.
MythThe information will end up in the database anyway and stop me getting a driver's license
FactA paid anonymous consultation does not involve registration on the dispensary registry or any transfer of data to registries. When issuing certificates, medical commissions rely on official registry data, not on anonymous visits to a private clinic.
MythOnly “seriously ill” people see a psychiatrist
FactMost visits to a psychiatrist are related to anxiety, depression, insomnia and the after-effects of stress. Seeking help early makes it possible to treat the condition faster, and often with less medication, than when a disorder has been left to progress.
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 Kostanay
| Online psychiatrist consultation | 13 500 ₸ |
| In-person psychiatrist consultation | 16 000 ₸ |
| Psychiatrist home visit | 36 000 ₸ |
| 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
Narcology 24 in Kostanay: 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 — 63 Kairbekova St., office 18, Kostanay and 109 Gogolya St., office 10, Kostanay. 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
Do I need a passport for an anonymous consultation?
No. No identity document is required for an anonymous appointment; it is enough to give a first name or a pseudonym. You will only need an ID if you yourself want an official certificate or a sick note, which by law are issued in a specific person's name.
Can I come to the consultation with a relative?
Yes, if you wish. Usually part of the conversation takes place with the patient alone so that they can speak freely about their condition. The doctor may then invite the relative in and, with your consent, explain the treatment plan and the family's role.
Will the consultation affect my driver's license?
An anonymous visit to a private clinic does not create any dispensary registry record. However, the doctor is obliged to warn you if your condition or the prescribed medications temporarily affect your ability to drive safely — this is a matter of your own safety.
What is the difference between a psychiatrist and a psychologist?
A psychiatrist is a medical doctor: they make a diagnosis according to the ICD and prescribe medication and tests. A psychologist and a psychotherapist work through conversation and behavioral techniques and do not prescribe medication. For many disorders, the best results come from combining both approaches.
How many consultations will I need?
Sometimes a single appointment is enough to get recommendations. If treatment is prescribed, a follow-up visit is usually needed after 2–4 weeks, and then according to the doctor's plan. A course of treatment for depression or an anxiety disorder often lasts several months, with visits becoming gradually less frequent.
How do I book anonymously?
Call or message our administrator in Kostanay: you only need to give a first name and your preferred format and time. You can also ask about the cost and how to prepare. If you are booking for someone else, say so — the administrator will explain how to handle the first conversation tactfully.
Where do doctors visit in Kostanay and where are the branches?
Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 63 Kairbekova St., office 18, Kostanay and 109 Gogolya St., office 10, Kostanay. Phone in Kostanay: +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
