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Addiction medicine · Consultations and family help

Consultation for families of people with addiction in Kyzylorda

In short

A consultation for relatives of a person with addiction is an appointment with an addiction specialist or psychotherapist for the family of someone with alcohol or drug dependence, without that person having to be present. The appointment assesses the situation based on what the family reports, the health risks to the person with addiction and to the family themselves, and gives specific recommendations: how to talk about treatment, what to do in an emergency, and how to avoid enabling substance use. It lasts 60–90 minutes, in person or online, and is anonymous.

Call a doctorTeam on call
Nurlan Isayev, MD
Nurlan Isayev, MDAddiction psychiatrist · experience 10 years
  1. 01Call or WhatsApp
  2. 02The doctor sets off
  3. 03Help on site
Kyzylorda · 24/7+7 (700) 309-30-65

from 9 000 ₸ConfidentialVisit: usually within an hour

Reviewed byNurlan Isayev, MDAddiction psychiatrist, experience 10 years · updated 8 Nov 2026

Key facts

Who provides it
A psychiatrist-narcologist and a psychotherapist specializing in family work
Where
At the clinic or by video call; several family members can join
Duration
First meeting 60–90 minutes; a course of family consultations is 4–8 sessions
Anonymity
No last names or documents; information about the family is protected by medical confidentiality
When it is urgent
Your loved one has seizures, delusions, loss of consciousness, suicide threats, or aggression — call 103 or 112
Outcome
A risk assessment, a plan for talking about treatment, and rules for family life and crisis situations

What you should know

Addiction affects the whole family: loved ones live in constant anxiety, take on someone else’s responsibilities, try to control the drinking or drug use, and often need help themselves. A consultation for relatives is a medical and psychological service in its own right. Its goal is to give the family a clear picture of what is happening, reduce risks, and develop an action plan that increases the chances that the person with addiction will agree to treatment.

At Narcology 24, the consultation is conducted by an addiction specialist and a psychotherapist who works with families. The addiction specialist answers medical questions: how dangerous the condition is, when a doctor’s home visit or an ambulance is needed, and which complications are possible. The psychotherapist helps the family build communication and set boundaries. A consultation for families in Kyzylorda is available in person at the clinic and by video call, so relatives in different cities and countries can join.

When Relatives Should Seek a Consultation

  • your loved one regularly drinks or uses drugs and denies there is a problem
  • you do not know whether their condition is dangerous and whether you need to call a doctor urgently
  • previous conversations about treatment ended in arguments and promises to “quit on my own”
  • the family has run into debt, lies, and missing belongings or money
  • you feel constant anxiety, sleeplessness, and guilt about what is happening
  • there are children in the home, and you do not know how to explain the situation to them
  • your loved one went back to drinking or using after treatment and you need to understand what to do next

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 a Family Consultation Includes

What the consultation covers, point by point: 1) gathering information about your loved one — what they use and for how long, whether there have been binges, seizures, psychotic episodes, or treatment; 2) assessing urgency — whether there are signs that require immediate medical care; 3) reviewing the family situation — who does what, and which actions unintentionally support the substance use; 4) discussing the treatment options available right now; 5) an action plan for the coming weeks.

Special attention is paid to the relatives themselves. Long-term stress leads to anxiety and depressive disorders, sleep problems, and physical illness. The doctor assesses whether family members need help of their own — psychotherapy or a psychiatrist’s consultation. A family that has received support acts more calmly and consistently, and this in itself increases the likelihood that their loved one will get treatment in Kyzylorda.

How a Consultation for Relatives Works

Steps: 1) book by phone or messenger — you can say how many people will take part; 2) a meeting at the clinic or a video call; 3) the family tells their story and the specialist asks clarifying questions; 4) a risk assessment and a review of mistakes that families often make; 5) a plan — what to say, when, and which type of help to offer; 6) if needed, Narcology 24 can immediately arrange an addiction specialist’s home visit or an online conversation with the person with addiction, if they are ready for it.

Limitations: without seeing and examining the person, it is not possible to make a diagnosis or prescribe treatment for them — all medications are prescribed only after an in-person appointment. If it turns out during the consultation that your loved one currently has delirium, seizures, depressed consciousness, signs of an overdose, or is talking about suicide, stop the meeting and call 103 or 112. The clinic has no right to forcibly take a person for treatment at the family’s request.

How we help

01

Family psychoeducation

The specialist explains in plain language what addiction is from a medical point of view: why it is classified as a disease in ICD-10, how cravings develop, and why a person makes promises and cannot keep them. Understanding these mechanisms reduces guilt and anger and helps the family stop seeing substance use as a question of willpower or of how the person feels about them.

02

The CRAFT approach

Community Reinforcement and Family Training is a method for training family members whose effectiveness has been described in the international literature. The family learns to reward sober behavior, not to shield the person from the natural consequences of substance use, and to choose the right moment to talk about treatment. The approach is based on cooperation rather than ultimatums and confrontation.

03

Crisis plan

Together with the specialist, the family draws up a written plan for dangerous situations: which symptoms require calling 103 or 112, how to act in case of aggression, where to go with the children, and how not to leave the person alone when the risk is high. The plan also covers which medications must not be given without a doctor’s prescription, and why.

04

Family therapy

If your loved one is already in treatment or ready for it, a course of joint sessions is held. The goal is to rebuild trust, share responsibilities, and agree on rules for a sober household. Family therapy is included in international guidelines as part of comprehensive addiction treatment and reduces the risk of relapse.

Myths and facts

MythNothing can be done until they want it themselves

FactMotivation does not appear on its own — it is influenced by how the people around the person behave. Studies of methods such as CRAFT show that trained family members succeed in getting the person to agree to treatment considerably more often than those who simply wait or apply pressure.

MythYou need to give a tough ultimatum

FactUltimatums without a plan often lead to arguments and increase resistance. What works is consistent boundaries, thought out in advance, that the family is truly prepared to keep, together with an offer of a specific type of help.

MythOnly the person with addiction needs a consultation, not the relatives

FactFamily members of people with addiction are themselves at risk of anxiety and depressive disorders. Helping the family is a recognized part of addiction treatment, and it is useful even when the person is still refusing treatment.

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 Kyzylorda

Online addiction doctor consultation9 000 ₸
In-person addiction doctor consultation11 000 ₸
Family consultation11 000 ₸
Phone advicefree

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 Kyzylorda: 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 — 169 Auezova St., Kyzylorda and 24 Zheltoksan St., Kyzylorda. 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

Can we come to a consultation without the person with addiction?

Yes, this is the main format of the service. The specialist will gather information from the family, assess the risks, and give recommendations. A diagnosis cannot be made without seeing the patient, but it is entirely possible to work out an action plan and prepare for a conversation about treatment.

How many relatives can take part?

Usually 1–3 people come — spouses, parents, or adult children. It is important that participants are ready to act in a coordinated way. If family members disagree, the specialist will help them agree on a common approach and divide up roles.

What should we do if our loved one is on a binge right now?

Assess safety: in case of seizures, delusions, loss of consciousness, or vomiting blood, call 103 or 112. If there are no dangerous signs, you can call an addiction specialist to the home for an assessment and an IV drip. Do not give sedatives or sleeping pills without a doctor’s prescription — combining them with alcohol is dangerous.

Can we force our loved one to get treatment?

No. Addiction treatment at the clinic is voluntary. In Kazakhstan, involuntary treatment is possible only by court decision in the manner established by law. The consultation helps you find ways to motivate the person without force or deception.

How can we join an online consultation from another country?

You need a smartphone or computer with a camera and a stable internet connection. The time is chosen with the participants’ time zones in mind. Narcology 24 online consultations are held in Russian, and several relatives can join the same video meeting.

How many consultations will we need?

Sometimes a single meeting is enough to draw up a plan and arrange treatment for your loved one in Kyzylorda. If the situation has gone on for a long time, a course of 4–8 weekly sessions is recommended — this gives the family time to apply the recommendations and review the results with the specialist.

Where do doctors visit in Kyzylorda and where are the branches?

Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 169 Auezova St., Kyzylorda and 24 Zheltoksan St., Kyzylorda. Phone in Kyzylorda: +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

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See also

Consultation for families of people with addiction — in other cities

Duty team on call

Addiction doctor home visits in Kyzylorda, 24/7: all city districts and nearby settlements. Two branches for appointments; online consultations from anywhere.

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