Reviewed by: Viktor Kim, psychotherapist · updated 6 Nov 2026
Key facts
- Who provides care
- A psychotherapist trained in systemic family therapy
- Format
- Video sessions with several family members, who can join from different locations
- Duration
- Each session lasts 60–90 minutes; a course includes 6 to 20 sessions
- Confidentiality
- Medical confidentiality under the Code of the Republic of Kazakhstan; anonymous requests
- When it’s urgent
- Violence, a threat to life, or suicidal thoughts — call 103, 112, or the 150 helpline
- Outcome
- Constructive communication, clear rules, and fewer conflicts
What you should know
Family therapy is based on a systemic approach: the behavior and experiences of each family member are viewed in the context of the relationships and interactions within the family. One person’s difficulties are often linked to recurring communication patterns, the way roles are divided, and the rules that have developed in the family. Changing these patterns can improve the well-being of the whole family as well as its individual members, including children and elderly relatives.
International clinical guidelines include family interventions in the treatment of a number of disorders: eating disorders in adolescents, schizophrenia, addictions, and behavioral problems in children. The online format makes it possible to bring together family members who live in different places for a single session. An online family therapist in Pavlodar at Psychiatry Online helps improve communication, reduce tension, and find solutions that work for everyone involved.
When a Family Should See a Therapist
- frequent arguments that end without resolution and keep coming back
- difficulties in the relationship between parents and children or teenagers
- crisis events: divorce, illness, loss, relocation, or the birth of a child
- addiction or a mental disorder in one of the family members
- emotional distance, silence, and a feeling that family members live separate lives
- conflicts between generations and interference from relatives
- difficulties forming a blended family with children from previous relationships
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.
Why Family Difficulties Arise
Every family goes through natural stages of the life cycle: forming a couple, having children, the children’s adolescence, their leaving home, and the parents growing older. Each transition requires roles and rules to be reorganized, and if the family does not adapt in time, tension builds up. Outside events — illness, financial difficulties, loss, or forced relocation — add further pressure.
Within a family, stable patterns of interaction gradually take shape: someone takes on the role of peacemaker, someone else the role of the one who gets blamed, and coalitions and hidden conflicts form. These patterns can be passed down from generation to generation. The systemic approach sees the problem not as the fault of a particular person but as the result of interactions that can be changed through joint effort.
What Happens in an Online Family Session
Before the first session, the therapist clarifies who will take part and discusses the ground rules: everyone speaks for themselves, does not interrupt, and does not use insults. Participants can join from the same room or from different locations. You will need devices with a camera and good sound, as well as a space where no outsiders can overhear the conversation. The therapist helps everyone have their say, draws attention to communication patterns, and suggests tasks for the period between sessions.
The online format is not suitable when there is ongoing domestic violence and a joint session could be dangerous for one of the participants. In that case, call 102 (police) or 112. If a family member is in an acute mental health crisis, an in-person appointment with a psychiatrist in Pavlodar is needed; if there is a threat to life, call 103 or 112; the crisis line for children and young people is 150.
How we help
Systemic family therapy
The therapist explores how family members influence one another, what rules and roles have developed, and which patterns keep repeating. Circular questions, a genogram, and reframing of the problem are used. The goal is to help the family see the situation from a new angle and find more flexible ways of interacting without placing the blame on one person.
Structural family therapy
This approach focuses on the structure of the family: the boundaries between subsystems, the hierarchy, and how power and responsibility are distributed. The therapist helps restore clear boundaries between generations, strengthen the parents’ position, and reduce children’s involvement in adult conflicts. The approach is often used for behavior problems in children.
Family interventions for mental disorders
For schizophrenia, bipolar disorder, addictions, and eating disorders, structured family programs are used. They include psychoeducation, training in communication and problem-solving skills, and planning what to do if the condition worsens. Such interventions reduce the frequency of relapses and the burden on the family.
Solution-focused therapy
This is a short-term approach that concentrates on the family’s goals and existing resources rather than on a detailed analysis of problems. The therapist helps identify times when the difficulties did not occur and build on what is already working. The method suits families who want to move quickly to concrete changes and see results within a few sessions.
Myths and facts
MythFamily therapy is only needed when divorce is on the table
FactFamily therapy is useful at different stages: the birth of a child, difficulties with a teenager, a family member’s illness, or after a loss. Seeking help early makes it possible to deal with tension before conflicts become chronic.
MythThe therapist will decide who is to blame
FactA family therapist does not pass judgment or take sides. The systemic approach sees difficulties as the result of interactions that all participants are responsible for changing. The goal is to find solutions, not someone to blame.
MythYou can’t work with a whole family online
FactVideo calls make it possible to hold sessions with several participants, including those in different locations. The therapist guides the session, makes sure everyone gets to speak, and adapts techniques to the online format.
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 Pavlodar
| Online therapy session (50 min) | 15 000 ₸ |
| Package of 8 online sessions | 110 000 ₸ |
| Family/couples session (80 min) | 20 000 ₸ |
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 family therapy” is available to people across Pavlodar Region 24/7 — from home, work or while travelling. For an in-person visit, Psychiatry Online in Pavlodar has two branches: 170 Kamzina St., Pavlodar and 134 Generala Dyusenova St., Pavlodar. 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
Do all family members have to take part?
Not necessarily. Sometimes therapy starts with one or two people, and others join later. Who takes part is discussed with the therapist depending on what the family is seeking help with. Even if someone refuses, changes in part of the family can affect the whole system.
Can children take part?
Yes, children and teenagers can take part in family sessions, and the format is adapted to their age. Sometimes the therapist spends part of the session with only the parents or only the child. For minors, participation requires the consent of their legal guardians.
How often are the sessions?
Family sessions are usually held every one to two weeks, which gives time to try out new skills at home. The frequency may change depending on the situation. During a crisis, sessions may be more frequent, and toward the end of therapy, less frequent.
What if family members live in different places?
The online format allows everyone to join from their own device. The therapist checks the connection in advance, agrees on ground rules, and makes sure all participants can see and hear one another. This is especially convenient when adult children or other relatives live elsewhere.
Is confidentiality maintained within the family?
The therapist discusses the rules in advance: what is talked about together and what can stay within an individual conversation. Information about therapy is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System” and is not shared with third parties without grounds established by law.
Is family therapy suitable when one family member has an addiction?
Yes, family approaches are among the recommended treatments for addiction. They help reduce tension, set boundaries, and support motivation for treatment and relapse prevention. When needed, family therapy is combined with individual treatment for the person with the addiction.
Where can I be seen in Pavlodar?
Online — from anywhere in the city or region. In person — at two branches: 170 Kamzina St., Pavlodar and 134 Generala Dyusenova St., Pavlodar. 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
