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 and a psychotherapist; a psychiatrist, gynecologist, or endocrinologist when indicated
- Where
- At home, as an outpatient, or in a hospital; first conversation and follow-up support online
- Duration
- Detox 3–7 days, main course 3–6 weeks, follow-up support 6–12 months
- Anonymity
- No documents, no registry; information is not shared with your employer or relatives without consent
- When it is urgent
- Seizures, hallucinations, bleeding, chest pain, suicidal thoughts — call 103 or 112
- Outcome
- Safely stopping drinking, treatment of depression and anxiety, and lasting sobriety
What you should know
Alcoholism in women is not a separate diagnosis but a term for the specific features of how alcohol dependence develops in women. Because women’s bodies contain a smaller proportion of water and metabolize ethanol differently, their blood alcohol concentration is usually higher after drinking the same amount. As a result, damage to the liver, heart, and nervous system develops with smaller amounts and over a shorter time, and the path from regular drinking to dependence is often shorter.
Women seek help less often: shame, fear of judgment, and worries about their relationship with their children and their reputation get in the way. At Narcology 24, treatment is designed with these barriers in mind — complete anonymity, a doctor’s visit in an unmarked car, and the option of a first conversation online. Treatment of alcoholism in women in Rudny follows the same clinical protocols as for men, but always includes an assessment of gynecological and endocrine status, possible pregnancy, and co-occurring mental disorders.
Signs of Alcohol Dependence in Women
- drinking alone, hidden stashes of alcohol, downplaying how much you drink
- wine or other drinks have become a daily way to relieve tension and fall asleep
- anxiety, shaking, and a racing heart in the morning that go away after drinking
- growing low mood, tearfulness, irritability, and guilt
- menstrual cycle irregularities, worsening skin, and puffiness
- withdrawing from social contact, missing work, paying less attention to children and home
- attempts to cut down end in relapse within a few days
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.
Why Dependence Develops Faster in Women
Medical reasons, point by point: 1) a smaller proportion of body water and a higher blood ethanol concentration from the same amount of alcohol; 2) differences in the activity of the enzymes that break down alcohol; 3) the effect of sex hormones on ethanol metabolism; 4) a higher rate of depressive and anxiety disorders, in which alcohol is used as “medicine.” As a result, the liver, heart, and brain are damaged by smaller amounts and over a shorter period of drinking.
Social factors: chronic stress, balancing work and caring for the family, loneliness, the postpartum period, divorce and loss, and a partner’s drinking. Stigma pushes women to hide the problem, so help begins at a later stage. An early consultation with an addiction specialist in Rudny makes it possible to start treatment before cirrhosis, cardiomyopathy, and severe cognitive impairment develop.
How Treatment Works: Stages and Specific Features
Stages: 1) an anonymous online or in-person consultation — assessment of dependence, mood, sleep, and suicide risk; 2) testing — blood work, an ECG, a pregnancy test if needed, and an ultrasound and gynecologist’s consultation when indicated; 3) detox at home or in the hospital; 4) relapse prevention therapy that takes into account contraindications and pregnancy plans; 5) psychotherapy and treatment of co-occurring depression or anxiety; 6) follow-up support at Narcology 24 online and in person.
Treatment at home is not provided during pregnancy — coordination with an obstetrician-gynecologist is needed, and inpatient care is usually required. Inpatient care is also necessary if there have been seizures or delirium in the past, with serious liver or heart disease, or with severe depression and suicidal thoughts. In case of seizures, hallucinations, bleeding, chest pain, or statements about suicide, call 103 or 112. Some medications are contraindicated during pregnancy and breastfeeding.
How we help
Detox tailored to the body’s needs
In women, withdrawal may involve severe anxiety, a racing heart, and blood pressure fluctuations. IV therapy with detox solutions is given, along with B vitamin replacement, liver-protecting agents, and medications for sleep and anxiety as prescribed by the doctor. Body weight, liver condition, and the use of hormonal and other medications are taken into account.
Treatment of co-occurring disorders
Depression and anxiety disorders often accompany alcoholism in women and increase the risk of relapse. If they persist after detox, a psychiatrist becomes involved. Treating both conditions at the same time is recommended by international guidelines: without addressing mood and sleep, staying sober is much harder.
Relapse prevention therapy
Medications that reduce alcohol cravings are prescribed with contraindications during pregnancy, breastfeeding, and liver disease in mind. Alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries) and chemical protection are possible after testing, the required period of sobriety, and written consent, as part of comprehensive treatment and without promises of a result “forever.” For women planning a pregnancy, the choice of method is discussed separately.
Psychotherapy and support
Cognitive behavioral therapy helps identify situations in which the urge to drink arises and find other ways to cope with stress. Special attention is paid to feelings of guilt and shame and to rebuilding relationships with children and a partner. Family therapy is provided if needed, and mutual support groups are recommended.
Myths and facts
MythAlcoholism in women cannot be cured
FactThis is a common myth. Women respond to treatment just as well as men, especially if depression or anxiety is treated at the same time. The key conditions are seeking help in time, a comprehensive program, and long-term follow-up support.
MythA glass of wine every evening cannot lead to dependence
FactDrinking even small amounts every day can gradually build tolerance and dependence, especially if alcohol is used to relieve stress or fall asleep. WHO does not set a level of drinking that is safe for health.
MythA little alcohol during pregnancy does no harm
FactWHO and international guidelines do not set a safe amount of alcohol during pregnancy. Drinking can lead to developmental disorders in the baby. If a woman is pregnant and cannot stop drinking, she needs to see a doctor urgently.
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 Rudny
| 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
In rudny you can get help at home, at one of our two branches (101 Pushkina St., Rudny, 30 50 let Oktyabrya St., Rudny) 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 Rudny 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
Can I get treatment without anyone finding out?
Yes. Treatment is anonymous, without documents or a registry entry. The doctor arrives in an unmarked car, and the first conversation can take place online. Information is not shared with your employer, husband, or relatives without your consent.
What should I do if I am pregnant and cannot stop drinking?
See a doctor urgently — stopping abruptly on your own when dependence is significant can be dangerous for both you and the baby. An addiction specialist and an obstetrician-gynecologist will work together to determine a safe approach; inpatient treatment is usually recommended.
Are there specific features of treatment for women?
Yes. The doctor takes into account the faster development of complications, the frequent combination with depression and anxiety, hormonal status, the use of contraceptives and other medications, and pregnancy plans. The treatment plan is tailored individually after testing.
Can I get treatment if I have small children at home?
Yes. Options include detox at home with doctor’s visits, outpatient treatment, and online follow-up support. If inpatient care is needed, the doctor will help you plan the timing. During withdrawal, it is important to have a sober adult nearby who can look after the children.
Is a psychiatrist needed for alcoholism in women?
If low mood, anxiety, or insomnia persist after you stop drinking, or if you have suicidal thoughts, a psychiatrist’s consultation is essential. Timely treatment of these disorders significantly reduces the risk of returning to alcohol.
How can I help a woman close to me who is hiding the problem?
Speak calmly, without blame or reproach, and rely on facts and your concern for her. Suggest an anonymous consultation with an addiction specialist in Rudny — online is often easier. Relatives can first see a specialist themselves for advice on how to start the conversation.
Where do doctors visit in Rudny and where are the branches?
Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 101 Pushkina St., Rudny and 30 50 let Oktyabrya St., Rudny. Phone in Rudny: +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

