Reviewed by: Askar Sarsenbayev, MD, addiction medicine physician · updated 6 Nov 2026
Key facts
- Who leads care
- a psychiatrist specializing in addiction medicine, with a psychotherapist when needed
- Format
- video or audio call, for the patient or for relatives
- Duration
- first consultation 30–60 minutes
- Confidentiality
- no surname required; medical confidentiality, no registration on a state registry
- When it’s urgent
- seizures, confusion, hallucinations, overdose — call 103 or 112
- Outcome
- a risk assessment and a personalized treatment plan
What you should know
The hardest step is admitting to yourself that alcohol or drugs have become a problem. An online consultation makes that step easier. You message us on WhatsApp or call — you don’t have to give your surname — and say that you need an addiction specialist. The administrator checks whether there are any dangerous symptoms right now and finds a time, often within the hour. You can join from your car in a parking lot, from home, or from a hotel room on a business trip; what matters is that no one is listening in.
The addiction specialist asks what you use and how often, for how long, whether there have been drinking binges, attempts to quit, withdrawal symptoms, or problems with health, work, or family. No lectures — the doctor’s task is to understand the full picture and assess the risks. By the end, you receive an honest assessment of the situation and your options: what can be done on an outpatient basis, when a doctor’s home visit is needed, when inpatient care is indicated, and how to bring in psychotherapy. The decision is yours.
When It’s Time to Talk to an Addiction Specialist
- you drink or use more often and in larger amounts than you planned
- attempts to cut down or quit end in a relapse within a few days
- morning shakes, sweating, and anxiety that go away after another drink or dose
- your work, relationships, finances, or health are suffering because of substance use
- loved ones are worried, while you hide how much you really drink
- you can no longer relax or fall asleep without alcohol or pills
- there have been drinking binges, blackouts, or dangerous situations behind the wheel
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. An online consultation is free and helps assess the risks before a visit. For seizures, confusion or hallucinations call 103 or 112.
How Addiction Develops
Addiction is an illness in which a psychoactive substance becomes built into the workings of the brain’s reward system. Over time, more and more is needed to get the same effect, and without the substance, anxiety, irritability, insomnia, and physical discomfort appear. The risk depends on heredity, the age at which use began, temperament, and co-occurring mental disorders such as depression, anxiety, and ADHD.
The environment plays a huge role. Office party traditions, stress at work, loneliness, the habit of “unwinding” in the evening, and the easy availability of alcohol and drugs gradually make substance use seem normal. In the pace of a big city, when the day starts in a traffic jam and ends late, alcohol easily becomes a “quick” way to relieve tension. Addiction is not a lack of willpower but a condition that can be treated.
How an Online Addiction Consultation Works
You choose the time and format — video or audio. Be ready to give an honest account of what and how much you use, along with a list of medications and chronic illnesses. The doctor assesses the severity of the addiction, the risk of withdrawal syndrome, and co-occurring conditions, and discusses your goals — complete abstinence or harm reduction. Then you draw up a plan together. If relatives are reaching out, the doctor will advise them on how to talk to their loved one and how to motivate them toward treatment.
An IV drip, detoxification, or lab tests cannot be done online. In case of a severe drinking binge or marked withdrawal, the doctor will recommend a home visit or inpatient care. Seizures, confusion, hallucinations, chest pain, or signs of an overdose are reasons to call 103 or 112 immediately. Alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries) is possible only after an examination, when the person is sober, and with their consent.
How we help
Motivational counseling
Motivational interviewing is a method that helps a person find their own reasons for change instead of listening to persuasion. The doctor asks questions and helps weigh the pros and cons of substance use and formulate personal goals. Even a single conversation like this increases the likelihood that a person will start treatment. The format works well online.
Detoxification and a doctor’s home visit
If there is a drinking binge or withdrawal syndrome, an online consultation helps assess the risks and prepare for a home visit. The addiction specialist comes to your home, carries out an examination, and provides detoxification when indicated, while monitoring the patient’s condition. With severe symptoms or co-occurring illnesses, inpatient care is recommended. The online doctor will tell you which option is safer in your situation.
Relapse prevention therapy
After detoxification, it is important not to relapse. Medications from classes that reduce cravings or block the effect of the substance are used — only after an examination, with the patient’s consent, and within the framework of Kazakhstan law. Coding is one option, but only as part of comprehensive treatment, not a magic pill. The doctor explains the benefits, limitations, and risks of each method.
Psychotherapy and rehabilitation
Cognitive behavioral therapy helps you recognize high-risk situations, cope with cravings, and find new ways to relieve stress. Support groups, family therapy, and rehabilitation programs provide long-term stability. Regular online sessions are especially convenient in the first months of sobriety, when the risk of relapse is highest.
Myths and facts
MythAn addiction specialist will put you on a registry right away
FactA consultation at a private clinic is anonymous, with no registration on a state registry. All information is protected by medical confidentiality and is disclosed only in cases expressly provided for by law. You don’t have to give your surname.
MythIf I only drink on weekends, I’m not addicted
FactRegularity is not the main point. What matters is whether you lose control over how much you drink, whether your health and relationships suffer, and whether there are binges. Weekend binges can also be a sign of addiction, and it is worth discussing them with a doctor.
MythGetting “coded” is enough — then it will all go away
FactCoding does not treat addiction on its own. It can be part of comprehensive treatment, but without addressing the reasons for drinking and without support, the risk of relapse remains high. It is carried out only after an examination, when the person is sober, and with their consent.
How an online appointment works
- Message or callWrite on WhatsApp or call — our coordinator replies within minutes, day or night. You don't have to give your surname.
- Doctor and timeWe match you with a psychiatrist, addiction specialist or psychotherapist and agree on a time — often the same day.
- Video consultationA secure 50–60 minute video call: the doctor takes a detailed history and uses standardised scales if needed.
- Treatment planYou receive a clear summary, recommendations and a plan: what we do online and what needs an in-person visit or home call.
- Follow-upOnline follow-up sessions, messenger contact with your doctor, and treatment adjustments until you get a stable result.
Prices in Almaty
| Online addiction specialist consultation | 12 000 ₸ |
| Online consultation for relatives | 12 000 ₸ |
| Addiction specialist home visit | 40 000 ₸ |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
Psychiatry Online in Almaty: same-day video appointments and two branches for in-person visits — 129 Kurmangazy St., office 8, Almaty and 110 Bogenbay batyra St., office 15, Almaty. Our mobile team works around the clock: all city districts and nearby settlements. If you live elsewhere in Almaty and Almaty Region, starting online is usually easiest.
Confidential and private
Information about your visit, diagnosis and treatment is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”. We never share it with your employer, school or relatives without your consent; the only exceptions are those expressly set out by law. For an online consultation your first name is enough, video runs over a secure channel and nothing is recorded without your consent.
Questions and answers
Can I see an addiction specialist anonymously?
Yes. At Psychiatry Online, you don’t have to give your surname, and the consultation does not involve registration on a state registry. Information about your visit is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System.” The only exceptions are cases expressly provided for by law.
What should I do if a loved one drinks but doesn’t want treatment?
Start with a consultation for yourself. The addiction specialist will explain how to talk to your loved one without arguments or threats, which arguments work, and how to avoid unintentionally enabling their drinking. Compulsory treatment is possible only on the grounds and in the manner established by the law of the Republic of Kazakhstan.
Can I get a consultation at night?
Yes, an addiction specialist is available 24/7. Night is often when things get very bad or you become frightened for a loved one. But if there are seizures, confusion, hallucinations, or signs of poisoning, don’t wait — call 103 or 112. You can message us on WhatsApp at night too.
Will I get a prescription after an online consultation?
Prescribing depends on the legislation of the Republic of Kazakhstan and the requirements for an initial examination. Some medications require an in-person examination and tests. The doctor will tell you honestly what is possible online and what requires a clinic visit or a home visit.
Can I call a doctor to my home after the consultation?
Yes. If detoxification or an examination is needed, we will arrange a home visit by an addiction specialist in Almaty and its suburbs — from the Medeu district to Kaskelen. The online consultation helps assess the situation in advance and prepare for the doctor’s visit.
Does an addiction specialist help with gambling addiction?
Yes, gambling addiction is classified among disorders related to addictive behaviors. An addiction specialist and a psychotherapist help you understand how the problem developed, cope with urges, and rebuild your finances and relationships. Treatment is mainly delivered as psychotherapy and is well suited to the online format.
Where can I be seen in Almaty?
Online — from anywhere in the city or region. In person — at two branches: 129 Kurmangazy St., office 8, Almaty and 110 Bogenbay batyra St., office 15, Almaty. Both are open 24/7; home visits cover all city districts and nearby settlements.
Sources and methodology
This page was prepared by the Psychiatry Online 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) and APA (US) guidelines on the treatment of mental disorders
- WHO recommendations on telemedicine and digital health
This information is for reference only and does not replace a consultation with a specialist. Editorial policy



