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Addiction medicine · Consultations and family help

How to get a loved one into treatment in Taraz

In short

Motivation for treatment is work by a specialist and the family aimed at helping a person with addiction make a voluntary decision to get treatment on their own. The main method is motivational interviewing: a conversation without pressure, blame, or deception in which the person puts their own reasons for change into words. It is conducted by an addiction specialist or psychotherapist, in person, at home, or online; usually one to several meetings over 1–4 weeks are needed.

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Rinat Zhumabekov, MD
Rinat Zhumabekov, MDAddiction psychiatrist · experience 21 years
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Taraz · 24/7+7 (700) 309-30-65

from 9 000 ₸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 or psychotherapist trained in motivational interviewing
Where
At the patient’s home, at the clinic, or by video call
Duration
One meeting lasts 60–90 minutes; usually 1–4 meetings over 1–4 weeks
Anonymity
No documents or last names, no registry entry
When it is urgent
If your loved one has delirium, seizures, an overdose, or suicidal thoughts — call 103 or 112 first
Outcome
Agreement to a first step — a consultation, detox, or inpatient care — and a treatment plan

What you should know

Denial of the problem is a characteristic feature of addiction, not a sign of stubbornness or indifference toward the family. A person may sincerely believe they are in control of their drinking or drug use, or may fear treatment, publicity, or losing their job. Motivational work aims to lower these barriers: to give accurate information, discuss fears, and help the person see the gap between their values and where their substance use is leading them.

At Narcology 24, motivational counseling is provided by an addiction specialist and a psychotherapist. This may be a conversation with the person themselves at home or by video, preparing relatives for the conversation, or a joint family meeting with a specialist. Motivation for treatment in Taraz is built on the principles of voluntariness and respect: the clinic does not use deception, threats, or physical coercion, and the decision about treatment remains with the person.

Signs Your Loved One Needs Motivational Support

  • the person admits they drink or use “a lot” but refuses any kind of help
  • promises to quit on their own keep being made but are never kept
  • conversations about treatment end in aggression, hurt feelings, or the person walking out of the house
  • the person fears publicity, the registry, or losing their job and avoids doctors for that reason
  • after a previous unsuccessful treatment, they believe “nothing will help”
  • they waver: one day they agree to treatment, the next day they refuse
  • substance use has already caused health problems, but this does not change their behavior

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 People With Addiction Refuse Treatment

The main reasons for refusal: 1) denial and minimization — a defense mechanism that helps the person avoid seeing the scale of the problem; 2) fear of withdrawal — the person remembers how hard it is to stop; 3) shame and stigma — not wanting to admit being “sick”; 4) fear of legal and social consequences; 5) negative experience with previous treatment; 6) ambivalence — wanting to change and, at the same time, wanting to keep a familiar way of coping with stress.

The motivational approach assumes that ambivalence is a normal stage of change, not resistance that has to be broken. The specialist helps the person hear their own arguments in favor of sobriety. Learning that treatment in Taraz can be anonymous, without a registry entry, and that withdrawal is managed under a doctor’s supervision often removes the main fears and makes the first step possible.

How a Motivational Conversation With a Loved One Works

Steps: 1) a preliminary meeting with the family, in person or online — gathering information and preparing; 2) choosing the moment — the person is sober and there is no acute conflict; 3) a conversation between the addiction specialist or psychotherapist and the person themselves at home, at the clinic, or by video; 4) discussing their goals, concerns, and options for help; 5) agreeing on a specific first step; 6) if they are ready, Narcology 24 arranges a consultation, a detox visit, or hospital admission the same day.

A motivational conversation is not held if the person is severely intoxicated, psychotic, or aggressive — medical stabilization is needed first. If there is a threat to life — seizures, delirium, overdose, or statements about suicide — call 103 or 112. Involuntary hospitalization is possible only in the manner established by the law of the Republic of Kazakhstan, by court decision; the clinic does not arrange for a person to be “taken away” against their will.

How we help

01

Motivational interviewing

A method developed for working with people who are unsure whether they need to change. The specialist uses open questions, reflective listening, affirmation, and summarizing, and avoids arguing and labeling. The goal is for the person to put into words why they want treatment. The method is included in WHO and NICE recommendations for alcohol and other substance dependence.

02

Family training (CRAFT)

Relatives learn to communicate in ways that increase the likelihood of agreement to treatment: reinforcing sober days, talking calmly about consequences without rescuing the person from them, and choosing a good moment to offer help. The approach is based on cooperation and, according to international research, is more effective than confrontational methods.

03

Brief intervention

A short structured conversation of 15–30 minutes following a set framework: feedback on risks, responsibility for the choice, advice, options, empathy, and building confidence. It is used when the person is willing to give the specialist a little time — for example, during an addiction specialist’s home visit for an IV drip. It often opens the door to a longer conversation.

04

Information about what treatment is really like

Many people refuse because of myths. The specialist explains how detox works, how long it takes, what anonymous treatment and medical confidentiality mean, and which methods exist besides alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries). Specific information reduces anxiety and helps the person choose a type of help and a start date that are acceptable to them.

Myths and facts

MythIf the person refuses, they should be treated secretly

FactSlipping medications to someone without their knowledge is life-threatening: severe reactions can occur when they are combined with alcohol and other substances. It also violates the right to informed consent. Motivational work is a safe alternative.

MythYou have to wait until they “hit rock bottom”

FactWaiting increases the risk of serious complications, injuries, and death. Motivation can be built at any stage, and the earlier treatment begins, the more health, relationships, and social ties can be preserved.

MythMotivating means persuading and shaming

FactShame and pressure usually increase resistance. Effective motivation is based on respect, understanding, and support for the person’s own decision. The specialist helps the person hear their own reasons for change.

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 Taraz

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

In taraz you can get help at home, at one of our two branches (163 Al-Farabi St., Taraz, 52 Tole bi St., office 29, Taraz) 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

How do I start a conversation about treatment with a loved one?

Choose a moment when they are sober and calm. Talk about specific facts and your own feelings, without blame or labels. Offer a specific option — a doctor’s consultation, including an anonymous or online one. If the person refuses, do not argue; come back to the conversation later.

Can a doctor come and talk to a person who does not want treatment?

Yes, if the person agrees to meet. An addiction specialist can come as if for an ordinary health check — with the family’s knowledge, but without lying about who they are. The doctor has no right to carry out an examination or treatment by force — only with the person’s own consent.

How many meetings does it take for a person to agree?

Sometimes a single conversation is enough, especially after a crisis. In other cases, the work takes several weeks. Consistency matters: a family that has received recommendations keeps applying them between meetings with the specialist.

What if they agree and then change their mind?

Wavering is a normal part of the process. It is important to act quickly: if the person agrees, it is best to arrange a consultation or home visit the same day. If they refuse, do not treat it as a final defeat — calmly return to the conversation.

Can addiction be treated involuntarily in Kazakhstan?

Involuntary treatment is possible only by court decision, in the manner established by law and on grounds provided for by legislation. A private clinic does not hospitalize anyone by force. Specialists can explain to the family how this procedure works.

Is the online format suitable for a motivational conversation?

Yes, if the person is willing to talk by video. For many people this is easier than coming to the clinic: they can stay at home and remain anonymous. Online motivational conversations with an addiction specialist in Taraz are held both for the person themselves and for their family.

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

Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 163 Al-Farabi St., Taraz and 52 Tole bi St., office 29, Taraz. Phone in Taraz: +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

How to get a loved one into treatment — in other cities

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

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