Drug rehab in Kulsary

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

Key facts

Who provides care

an addiction doctor (narcologist), a psychiatrist, a psychotherapist, a psychologist, and chemical dependency counselors

Where

an inpatient rehab center, a day hospital, or outpatient care in Kulsary

Duration

the inpatient stage lasts from 3 to 6 months; the full cycle with aftercare lasts up to a year

Anonymity

medical confidentiality and treatment with no entry in the state dispensary registry

When it is urgent

overdose, slowed breathing, seizures, psychosis, or suicidal thoughts — 103 or 112

Outcome

giving up all psychoactive substances, stable mental health, and a return to work and studies

What you should know

Definition. Rehabilitation is a set of measures carried out after acute conditions have been resolved in a person with drug dependence syndrome (ICD-10 categories F11–F16 and F18–F19, depending on the substance). The goals of rehab are to build stable motivation for sobriety, teach skills for coping with cravings and stress, identify and treat co-occurring mental health disorders, and restore social connections, work, or studies.

Drug addiction is more often than alcohol addiction accompanied by severe consequences: overdoses, infections, psychosis, and problems with the law. That is why rehab programs are, as a rule, longer and more intensive. Drug rehab in Kulsary at Narcology 24 is provided by an addiction doctor, a psychiatrist, a psychotherapist, and addiction counselors. The program is tailored to the substance, the length of use, the presence of a dual diagnosis, and the family situation, following the clinical protocols of the Ministry of Health of the Republic of Kazakhstan and WHO recommendations.

Who Needs Rehab

• after detox, the person returns to using within the first weeks
• there have been overdoses or ambulance calls related to drug use
• the person uses several substances or replaces one with another
• psychosis, depression, anxiety, or sleep problems have appeared outside of intoxication
• drug use has led to the loss of a job or studies, debts, and problems with the law
• the person's social circle is connected with drug use, and there is no sober support
• strong cravings and thoughts about the substance persist even after withdrawal

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 Rehab Takes Months

Drugs cause profound changes in the brain's reward, motivation, and self-control systems. After withdrawal, these systems recover slowly: low mood, sleep problems, a reduced ability to feel pleasure, and periodic strong cravings may persist for months. It is during this period that the risk of relapse is highest, so support is important not only during detox but throughout the first year of sobriety.

Apart from biological mechanisms, addiction is sustained by habits, social circle, unresolved psychological problems, and co-occurring mental health disorders. Drug use often began as a way of coping with trauma, anxiety, or depression. WHO guidance emphasizes that effective treatment must be long-term, take co-existing conditions into account, and include psychosocial support and the restoration of social functioning.

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 Kulsary

The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.

Where to get help

In kulsary you can get help at home, at one of our two branches (106 Satpaeva St., Kulsary, 146 Esenova St., office 16, Kulsary) or online if you need a consultation rather than a procedure. The dispatcher answers 24/7 and will tell you straight away which option is safest.

Confidential and private

in Kulsary 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