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Addiction treatment · Alcoholism

Addiction in teenagers in Saryagash

In short

Addiction in teenagers is the development of harmful use or dependence syndrome involving alcohol, nicotine, cannabinoids, stimulants, and other psychoactive substances before the age of 18. The adolescent brain is especially vulnerable, so addiction develops faster and has a greater impact on school, development, and mental health. Help includes consultations with an addiction specialist and a psychotherapist, testing, and work with the family and school environment. Treatment is provided with the consent of legal guardians.

Call a doctorTeam on call
Rinat Zhumabekov, MD
Rinat Zhumabekov, MDAddiction psychiatrist · experience 21 years
  1. 01Call or WhatsApp
  2. 02The doctor sets off
  3. 03Help on site
Saryagash · 24/7+7 (700) 309-30-65

from 9 500 ₸ConfidentialVisit: usually within an hour

Reviewed byRinat Zhumabekov, MDAddiction psychiatrist, experience 21 years · updated 8 Nov 2026

Key facts

Who provides it
A psychiatrist-narcologist and a psychotherapist who works with teenagers and families; a psychiatrist when indicated
Where
At the clinic, online for parents and the teenager; inpatient care if needed
Duration
Initial assessment 1–2 meetings, psychotherapy course from 8–12 weeks, follow-up support up to a year
Anonymity
No registry entry; information is not shared with the school without the legal guardians’ consent
When it is urgent
Poisoning, loss of consciousness, seizures, psychosis, suicidal thoughts — 103 or 112; helpline 150
Outcome
Stopping substance use, treating co-occurring disorders, and restoring family relationships

What you should know

Adolescence is a period of active brain maturation, especially of the frontal lobes, which are responsible for impulse control and weighing consequences. Psychoactive substances disrupt this process, so the earlier substance use begins, the higher the risk of developing an addiction in adulthood. In addition, substance use in teenagers often co-occurs with depression, anxiety, ADHD, or traumatic experiences, and the consequences affect school, relationships, and future careers.

At Narcology 24, help for teenagers is family-based: specialists work with the teenager and the parents at the same time. A first consultation for parents is available online and without the child present. Medical care for minors in Saryagash is provided with the consent of legal guardians in the manner established by the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System.” Children and young people in crisis can also get help from the free helpline 150.

Warning Signs Parents Should Watch For

  • a sudden change of friends, secretiveness, lying about where and with whom they spend time
  • falling grades, skipping school, losing interest in former hobbies
  • sharp mood swings, outbursts of aggression, apathy, or insomnia
  • dilated or constricted pupils, red eyes, the smell of alcohol or smoke
  • money and belongings disappearing from home, unexplained purchases
  • finding unfamiliar pills, small bags, or smoking paraphernalia
  • changes in appetite and weight, frequent “colds,” sluggishness or agitation

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 Teenagers Start Using Substances

Risk factors, point by point: 1) the age-related tendency to seek new sensations and take risks; 2) peer influence and the desire to belong to a group; 3) family factors — conflict, parents’ alcohol or drug use, too little supervision or, conversely, overly strict control; 4) anxiety, depression, ADHD, or traumatic experiences; 5) the availability of substances, including sales over the internet; 6) hereditary predisposition.

Protective factors include warm, trusting family relationships, clear and consistent rules, engagement in school, sports, and creative activities, and the ability to cope with stress. The specialists’ task is to reduce the influence of risk factors and strengthen protective ones. It is important to remember that first use does not always mean addiction: an early consultation in Saryagash helps you understand what is going on and step in before a lasting problem develops.

How Help for a Teenager Works: The Stages

Stages: 1) a consultation for parents — online or in person, without the teenager, to assess the situation and prepare for the conversation; 2) a meeting with the teenager and a legal guardian — a conversation, an examination, and rapid tests with consent if needed; 3) testing and a psychiatrist’s consultation when indicated; 4) a treatment plan — psychotherapy, family work, and treatment of co-occurring disorders; 5) regular meetings, some of them online; 6) follow-up support for the family at Narcology 24 while the results are consolidated.

Outpatient treatment is not enough and admission to a specialized unit is needed if the teenager has severe intoxication, significant withdrawal, psychotic symptoms, suicidal thoughts or attempts, or uses several substances with a risk of overdose. In case of poisoning, loss of consciousness, seizures, or breathing problems, call 103 or 112 immediately. A teenager in crisis can get help from the helpline 150.

How we help

01

Family therapy

For teenagers, family-based approaches are recognized as among the most effective methods of treating substance use. The specialist works with the teenager and parents together: restoring communication, helping establish consistent rules and agreements, and teaching parents to respond to rule-breaking without shouting or humiliation. The goal is to change the environment that sustains substance use.

02

Cognitive behavioral therapy

The teenager learns to recognize the situations, thoughts, and feelings that lead to substance use, to turn down offers from peers, and to cope with boredom, anxiety, and stress. Sessions are held in a format that makes sense to a teenager, with practical exercises and homework. A course usually lasts from 8–12 weeks.

03

Treatment of co-occurring disorders

Substance use often masks depression, an anxiety disorder, ADHD, or the effects of trauma. When these are identified, a psychiatrist becomes involved. Medication for minors is prescribed with particular caution, only when indicated, after testing, and with the consent of legal guardians.

04

Motivational work with the teenager

Teenagers rarely come on their own and often see help as a punishment. The specialist uses motivational interviewing: talks to them as an equal, respects the teenager’s autonomy, and helps connect substance use with their own goals — sports, school, relationships, freedom. This reduces resistance and increases engagement in treatment.

Myths and facts

MythAll teenagers experiment — it will pass on its own

FactStarting substance use early increases the risk of addiction in adulthood and affects brain development. Even occasional use is worth discussing with a specialist to assess the risks and step in on time.

MythA strict ban and punishment will solve the problem

FactHarsh measures without dialogue often increase secrecy and rebellion. Consistent rules combined with trusting communication and professional help for the whole family, not just the teenager, are more effective.

MythBeing put on the registry will ruin a teenager’s life

FactWith a paid anonymous consultation, information is not passed on for registry monitoring. Medical confidentiality is protected by the law of the Republic of Kazakhstan, and information is not shared with the school without the legal guardians’ consent, except in cases provided for by law.

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 Saryagash

Initial addiction doctor consultation9 500 ₸
Inpatient detox (per day)28 000 ₸
Psychotherapy course (8 sessions)77 000 ₸
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

In saryagash you can get help at home, at one of our two branches (12 Abaya St., Saryagash, 173 Seyfullina St., office 24, Saryagash) 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

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 without our child?

Yes. A first consultation for parents is a common and useful format. The specialist will help assess the situation, advise on how to talk to the teenager, and prepare you for the first joint meeting. A consultation for parents in Saryagash can be held online.

From what age can a teenager receive treatment without parents?

As a general rule, medical care for minors is provided with the consent of legal guardians; exceptions are defined by the law of the Republic of Kazakhstan. During the appointment, the doctor may talk to the teenager alone so they can speak openly.

How can I check whether my teenager is using?

Rapid tests exist, but secret testing destroys trust and does not solve the problem. It is better to discuss your observations with a specialist. Testing at the clinic is done only for medical purposes and with the consent of the teenager and a legal guardian.

Will the school find out about the treatment?

No, unless you want it to. Information from Narcology 24 about the consultation and treatment is protected by medical confidentiality and is not shared with the school without the legal guardians’ consent, except in cases expressly provided for by law.

What should I do if my teenager refuses to see a doctor?

Do not drag them by force or make threats. Start with your own consultation with a specialist, get recommendations, and try offering the teenager an online conversation — many find that easier. If there is a threat to life or health, call 103 or 112 right away.

Where can a teenager turn if they feel bad but are afraid to talk to their parents?

They can call the free helpline 150 for children and young people — someone there will listen and advise on what to do. If there is a threat to life, call 103 or 112. A teenager can also ask an adult they trust to help them see a doctor.

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

Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 12 Abaya St., Saryagash and 173 Seyfullina St., office 24, Saryagash. Phone in Saryagash: +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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Addiction in teenagers — in other cities

Duty team on call

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

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