Reviewed by: Assel Omarova, MD, psychiatrist and addiction specialist · updated 6 Nov 2026
Key facts
- Who leads care
- a child psychiatrist, with a clinical psychologist when needed
- Format
- video consultation with parents and child, review of home videos
- Duration
- first appointment 50–60 minutes, follow-ups 30 minutes
- Confidentiality
- medical confidentiality under Kazakhstan law; no data is shared with the school or kindergarten
- When it is urgent
- seizures, loss of consciousness, a threat to self — call 103 or 112, or the 150 helpline
- Outcome
- developmental assessment, a test plan, recommendations for parents and specialists
What you should know
Child psychiatry covers conditions described in ICD-10 under categories F80–F98, including developmental disorders of speech and scholastic skills, pervasive developmental disorders, hyperkinetic and conduct disorders, tics, enuresis, as well as anxiety and mood disorders of childhood. In ICD-11, most of these conditions are grouped together as neurodevelopmental disorders. Many problems first appear at preschool or early school age.
Early identification of developmental differences and timely help significantly improve the outlook. An online child psychiatrist consultation in Kaskelen allows parents to discuss worrying changes, show videos of their child’s behavior in familiar surroundings and get an expert opinion on what steps to take next. For children who find a clinic visit hard to cope with, the remote format is often less stressful.
When to Take Your Child to a Child Psychiatrist
- delayed speech or loss of words and skills the child had already learned
- difficulty connecting: the child does not respond to their name or avoids eye contact
- marked hyperactivity and impulsivity that interfere with learning
- frequent and prolonged tantrums, aggression, self-injurious behavior
- repetitive movements, tics, stereotyped repeated actions
- persistent fears, refusing to go to kindergarten or school
- problems with sleep or appetite, bedwetting after a period of dry nights
If at least two points apply and the state lasts longer than two weeks, it is worth seeing a specialist. Phone consultation is free. If life is at risk, call 112 or 103.
Causes of Mental Development Problems in Children
Most developmental disorders have multiple contributing factors. Genetic features, the course of pregnancy and childbirth, premature birth, infections and injuries of the nervous system all play a significant role. For some conditions, such as autism spectrum disorders and ADHD, high heritability has been proven. It is important to stress that such disorders are not the result of parenting mistakes.
Emotional and behavioral difficulties are more often linked to stress and changes in the child’s life: moving house, the birth of a younger sibling, parents’ divorce, conflicts with peers or the illness of a loved one. Physical illnesses and hearing or vision problems can also show up as changes in behavior. That is why the assessment always includes a review of the child’s physical health and family situation.
How an Online Appointment With a Child Psychiatrist Works
Before the consultation, parents are advised to gather medical records and reports from the pediatrician, neurologist and speech therapist, as well as short videos showing the child’s behavior, speech and play. The first part of the appointment is with the parents: the doctor asks about the child’s developmental history and the concerns. Then, if the child is ready, the psychiatrist observes them over video. An online child psychiatrist consultation in Kaskelen takes place over a secure channel in a setting where the child feels at ease.
A final diagnosis of some conditions, such as autism spectrum disorders, requires in-person observation, standardized assessment tools and the involvement of several specialists. A neurological examination, hearing and vision tests, an EEG and lab tests are carried out in person. In case of seizures, loss of consciousness or a risk of self-harm, call 103 or 112. Decisions about treatment are made with the consent of the child’s legal guardian.
How we help
Developmental assessment
The psychiatrist reviews the child’s motor, speech, social and emotional development, compares it with age norms and uses screening questionnaires for parents. The outcome is a decision on whether an in-depth assessment is needed and which specialists should be involved: a neurologist, speech therapist, audiologist or clinical psychologist.
Working with parents
Parent training programs are recommended for behavioral difficulties, ADHD and autism spectrum disorders. Parents learn to understand the reasons behind behavior, reinforce desired skills and build a predictable routine. Online sessions are convenient for regular meetings and for working through specific situations from family life.
Psychotherapy
Approaches for children include play therapy, age-adapted cognitive behavioral therapy and methods for working with anxiety and fears. The choice depends on the child’s age, condition and individual characteristics. With older preschool and school-age children, many formats can be delivered by video with parents taking part.
Medication
In child psychiatry, medication is used only when strictly indicated and when non-drug methods are not enough. Medications from certain groups may be used, taking into account the child’s age and any coexisting conditions. Prescribing and issuing prescriptions follow Kazakhstan law, require the consent of the legal guardian and, as a rule, take place after an in-person examination.
Myths and facts
MythThe child will grow out of it, there’s no rush
FactSome differences do fade with age, but when development is affected, timing matters. Early assessment and help improve outcomes, and a consultation does not automatically mean treatment or a diagnosis.
MythA child psychiatrist will immediately prescribe pills
FactCare for children is based mainly on non-drug methods: working with parents, psychotherapy and developmental or remedial sessions. Medication is prescribed only when strictly indicated and only with the consent of the legal guardian.
MythSeeing a psychiatrist will harm my child’s future
FactThe consultation is protected by medical confidentiality and is not shared with the kindergarten, school or other institutions without the parents’ consent, except in cases provided for by law. On the contrary, timely help reduces difficulties with learning and social interaction.
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 Kaskelen
| Online child/adolescent psychiatrist appointment | 17 000 ₸ |
| Consultation for parents | 15 000 ₸ |
| Follow-up online appointment | 13 000 ₸ |
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 Kaskelen: same-day video appointments and two branches for in-person visits — 9 Rayymbeka St., Kaskelen and 44 Karasay batyra St., Kaskelen. Our mobile team works around the clock: all city districts and nearby settlements. If you live elsewhere in Almaty Region, starting online is usually easiest.
Confidential and private
An online appointment in Kaskelen is first of all about privacy: no clinic visit, no waiting room. A private room and headphones are enough. Data is stored in a secure system with restricted access and does not enter any state registry without legal grounds.
Questions and answers
From what age can you see a child psychiatrist?
A consultation is possible from the first years of life if parents are concerned about their child’s speech, social contact, sleep or behavior. The earlier differences are identified, the more opportunities there are to support development during the period when the brain is most adaptable.
Does the child need to be present at the online appointment?
It is preferable for the child to be present for at least part of the time, because observing them is important for the assessment. The doctor can hold the first conversation with the parents only and supplement observation of the child with videos from everyday life.
Can autism be diagnosed online?
Online, it is possible to carry out screening and determine how likely an autism spectrum disorder is. A final diagnosis requires in-person observation using standardized tools and assessment by several specialists, after which a support program is developed.
How can I prepare my child for a video consultation?
Explain in simple words that they will be talking to a doctor who helps children, choose a time when the child is not tired or hungry, and have their favorite toys ready. It is important that a calm adult is nearby and that there are no other distractions.
Who can request a consultation for a child?
Consent to medical care for a child is given by the legal guardian in the manner established by Kazakhstan law. Parents and guardians in Kaskelen can book an online consultation at Psychiatry Online at any time of day, including weekends.
What should I do if my child says they don’t want to live?
Such statements must be taken seriously: talk calmly, do not leave the child alone, remove dangerous objects and medications, and seek help from a specialist. If there is an immediate threat, call 103 or 112; children and parents can also call the 150 helpline.
Where can I be seen in Kaskelen?
Online — from anywhere in the city or region. In person — at two branches: 9 Rayymbeka St., Kaskelen and 44 Karasay batyra St., Kaskelen. 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
