Reviewed by: Pavel Kornilov, MD, psychiatrist · updated 6 Nov 2026
Key facts
- ICD-10 code
- F40–F48
- Who provides care
- A psychiatrist and a psychotherapist; a general practitioner, neurologist or cardiologist when indicated
- Format
- Video consultations and online psychotherapy; lab tests and instrumental examinations in person
- Duration
- Initial appointment about 60 minutes; a course of psychotherapy usually takes 8 to 20 sessions
- Confidentiality
- Medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”
- When it is urgent
- Suicidal thoughts, first-time chest pain, shortness of breath, fainting — call 103 or 112
- Outcome
- An accurate diagnosis, less anxiety and fewer physical symptoms, restored ability to work and sleep
What you should know
The term “neurosis” is widely used in everyday speech and in the Russian-language medical tradition, but modern classifications no longer use it as a separate diagnosis. In ICD-10 it corresponds to block F40–F48 “Neurotic, stress-related and somatoform disorders,” while in ICD-11 these conditions are spread across different groups: anxiety disorders, obsessive-compulsive disorders, stress-related disorders, dissociative disorders and bodily distress disorder. What they have in common is the absence of psychosis despite marked distress, with the person keeping insight into their condition.
That is why treatment for “neurosis” at Psychiatry Online begins with an assessment: a psychiatrist determines via video call which specific disorder is involved, since the treatment methods for generalized anxiety, OCD or a somatoform disorder differ. An online psychiatrist consultation in Kaskelen lets you complete this stage from home, rule out physical causes of the symptoms with in-person tests, and start psychotherapy, whose effectiveness in video format has been confirmed by research.
Symptoms Commonly Referred to as Neurosis
- constant anxiety, worry and tension without a clear reason
- irritability, getting tired quickly, a feeling of exhaustion
- intrusive thoughts, fears or repetitive actions
- physical complaints — palpitations, a lump in the throat, pain — with no illness found
- sleep problems: difficulty falling asleep, frequent waking, anxious dreams
- emotional instability, tearfulness, overreacting to small things
- poorer concentration and ability to work, avoiding any strain
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 Neurotic Disorders
Neurotic and stress-related disorders develop through an interaction between predisposition and external pressures. Predisposing factors include a hereditary tendency toward anxiety, features of temperament and the nervous system, childhood experiences and established ways of reacting to difficulties. Psychological mechanisms play an important role — avoidance, catastrophizing and heightened attention to bodily sensations.
Triggering factors often include prolonged stress, conflicts, losses, work overload, illnesses, moving home and other significant changes. Symptoms can be sustained by lack of sleep and excessive caffeine and alcohol use. Since similar complaints arise with thyroid and heart disease, anemia and neurological illnesses, physical causes must be ruled out before a diagnosis is made.
How Online Treatment for Neurosis Works
The first video consultation is a detailed conversation about your symptoms, how long they have lasted, the circumstances in which they appeared, sleep, mood, caffeine, alcohol and medication use, and past illnesses. The doctor uses questionnaires to assess anxiety, depression and physical complaints, and then formulates a preliminary ICD diagnosis and a treatment plan. You will need a device with a camera, a stable internet connection and a private place to talk.
Lab tests, an ECG, a neurological examination and other tests to rule out physical causes of the symptoms cannot be done online — they are carried out in person. Whether prescription medications can be prescribed depends on the legislation of the Republic of Kazakhstan and the requirement for an initial examination. First-time chest pain, shortness of breath, fainting or suicidal thoughts require urgent help: call 103 or 112.
How we help
Clarifying the Diagnosis
The word “neurosis” covers different disorders, so the first step is to establish a specific ICD diagnosis: generalized anxiety disorder, panic disorder, OCD, adjustment disorder, somatoform disorder and others. This determines the choice of psychotherapy method, whether medication is needed and how long treatment will last.
Cognitive Behavioral Therapy
International guidelines recommend CBT as the first-line treatment for most anxiety and stress-related disorders. It helps change the thoughts and behaviors that keep symptoms going, reduce avoidance and learn to cope with anxiety. The program is tailored to the specific diagnosis and delivered online.
Medication
For severe symptoms, co-occurring depression or when psychotherapy is not effective enough, the doctor may recommend medications from the antidepressant group used for the long-term treatment of anxiety disorders. Sedatives that carry a risk of dependence are used sparingly. Treatment is selected and monitored only by the doctor.
Stress Management and Lifestyle
The treatment plan includes normalizing sleep, regular physical activity, limiting caffeine and alcohol, and relaxation and workload management skills. These measures make the main treatment more effective and reduce the risk of relapse. How well you follow them and their effect on your well-being are tracked at follow-up video consultations.
Myths and facts
MythNeurosis is not an illness, just nerves
FactThe conditions referred to as neurosis are diagnosable disorders with clinical criteria in the ICD. They cause real suffering, reduce the ability to work and, without treatment, can become chronic.
MythNeurosis is treated only with sedatives
FactInternational guidelines put psychotherapy, above all CBT, first. Medication is used when indicated, and sedatives that carry a risk of dependence only sparingly and for short periods.
MythIf the tests are normal, nothing is really wrong
FactPhysical symptoms in anxiety and somatoform disorders are real, even though they are not caused by organ damage. Normal test results help rule out dangerous illnesses and choose the right treatment with a psychiatrist and psychotherapist.
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 psychiatrist consultation (50–60 min) | 15 000 ₸ |
| Follow-up online consultation | 12 000 ₸ |
| One month of online psychiatric care | 60 000 ₸ |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
An online consultation for “Online treatment of neurotic disorders” is available to people across Almaty Region 24/7 — from home, work or while travelling. For an in-person visit, Psychiatry Online in Kaskelen has two branches: 9 Rayymbeka St., Kaskelen and 44 Karasay batyra St., Kaskelen. Doctor home visits: all city districts and nearby settlements.
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
Which doctor treats neurosis?
The diagnosis is made by a psychiatrist, and psychotherapy is provided by a psychotherapist. They often work together. With physical complaints, consultations with a general practitioner, cardiologist or neurologist may be needed to rule out physical causes; these take place in person.
Can neurosis be treated entirely online?
The diagnostic interview, psychotherapy and follow-up are successfully carried out by video call. In person, you will need tests to rule out physical illnesses and, in some cases, an examination for prescribing medication. After that, treatment can continue remotely.
How long does treatment last?
It depends on the specific disorder and its severity. A course of CBT usually takes 2 to 5 months. If medication is used, it is generally continued for several months after improvement. The timeframe is clarified after the assessment.
How is neurosis different from depression?
In depression, low mood and loss of interest and energy are the leading symptoms. Anxiety and stress-related disorders show up primarily as anxiety, fears, obsessions or physical complaints. However, these conditions often occur together, and the doctor takes both into account during treatment.
Can neurosis turn into a mental illness?
Neurotic disorders do not turn into psychosis. However, without treatment they can drag on and become complicated by depression or misuse of alcohol or sleeping pills. Seeking help from Psychiatry Online in good time helps avoid this and shortens treatment.
Will my anonymity be protected?
Information about the patient is protected by medical confidentiality and is disclosed only in cases expressly provided for by the laws of the Republic of Kazakhstan. A video consultation with a psychiatrist in Kaskelen takes place over a secure channel; for the initial appointment, the name you would like to be called and a way to contact you are enough.
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