Reviewed byBaurzhan Kassymov, MDAddiction physician · updated 11.11.2026
Key facts
- ICD-10 code
- F10.2
- Who provides it
- an addiction physician; psychotherapeutic methods are provided by a doctor with psychotherapy training
- Where
- in the clinic's consulting rooms in Almaty and Astana; the initial consultation can be online
- Duration
- consultation and examination take 1–2 hours; the period of effect is agreed individually
- Confidentiality
- anonymous, without registration with the state addiction (dispensary) registry, with written consent
- When it is an emergency
- drinking alcohol after coding and feeling unwell — call 103 or 112
- Outcome
- support for sobriety for the agreed period, combined with ongoing treatment
What to know
Relatives often come to me asking to “code” a husband, son or brother. The first thing I explain is that coding is not a magic button or a procedure done to a person without their involvement. It is a way of supporting a decision the person has already made for themselves — the decision not to drink. If there is no such decision, no method will work for long, and an adult cannot be coded without their consent, either by law or by medical ethics.
The word “coding” covers very different approaches. Some are based on medications that change the body's reaction to alcohol or reduce cravings. Others rely on psychotherapeutic influence and building a firm commitment to sobriety. On this page I will explain how to choose a suitable option, what the patient goes through before the procedure, and why the effect is often short-lived without psychological support. Details about specific methods are on separate pages.
When to Discuss Alcohol Coding with an Addiction Physician
- the person wants to stop drinking but has relapsed several times
- after coming off a binge, sobriety lasts only a few days or weeks
- cravings arise in certain situations and are hard to control
- an external “anchor” is needed while family life or work gets back on track
- the person has already been coded before and wants to repeat it under a doctor's supervision
- the person is ready to stay sober for the required period before the procedure and to undergo an examination
- there is an understanding that coding is part of treatment, not a substitute for it
If life is at risk — loss of consciousness, seizures, hallucinations, overdose, suicidal thoughts — call 103 or 112. Helpline for children and young people: 150.
Why Willpower Alone Is Often Not Enough
Alcohol dependence is a disease in which the brain systems responsible for pleasure, motivation and self-control change the way they work. Cravings arise not only from a wish to drink but also as an automatic reaction to stress, fatigue, certain places and people. That is why even a person who has sincerely decided to quit can relapse — this is not a weakness of character but a manifestation of the disease.
Coding creates an additional barrier between the craving and the action: the person knows that drinking right now is dangerous or unacceptable, and this helps them get through difficult moments. But the barrier works better when the underlying causes are addressed at the same time — through psychotherapy, changing habits and family support. International guidelines (NICE, WHO) emphasize that medication support is more effective when combined with psychosocial help.
How Preparation and the Procedure Itself Work
The first conversation can take place online: the doctor learns about the drinking history, illnesses, and the expectations of the patient and the family. This is followed by an in-person appointment: an examination, blood tests and an ECG if needed, and confirmation of the period of sobriety. The doctor explains the possible methods in detail — how they work, their limitations and risks — after which the patient chooses an option and signs informed consent. The procedure itself takes from 30 minutes to 1.5 hours. Afterward there are recommendations and scheduled follow-up appointments.
Coding is not performed while a person is intoxicated or in withdrawal, if the period of sobriety is too short, without the patient's consent, with certain heart and liver diseases, during the acute phase of mental disorders, or during pregnancy. Contraindications are determined by the doctor after an examination. If after the procedure a person drinks and feels chest pain, shortness of breath or severe weakness, call 103 or 112.
How we help
Medication-based methods
The medication is given intravenously, intramuscularly or as an implant. Some drugs cause an unpleasant reaction when alcohol is consumed, while others (for example, opioid receptor antagonists) reduce cravings and the pleasure from drinking. The choice depends on the person's health, the period of sobriety and the patient's preferences. This option is described in detail on the page about medication-based coding.
Psychotherapeutic methods
These include, for example, the Dovzhenko method — a session of suggestive therapy during which a commitment to giving up alcohol is formed. The effect is based on suggestion and personal motivation, so it suits people who are ready to work with a doctor. No medications are given here, but a prior period of sobriety and consent are still mandatory.
A combined approach
The best results often come from a combination: medication support plus regular sessions with a psychotherapist, work with the family and participation in mutual-help groups such as 12-step programs. Coding buys time, and psychotherapy helps use that time to learn to live without alcohol: coping with stress and rebuilding relationships.
Support after the procedure
After coding, it is important not to be left on your own. At Akalam, we offer follow-up appointments with an addiction physician, psychotherapist consultations and support for the family. If cravings grow stronger or doubts appear, it is better to come in for an appointment early than to “test” the code with alcohol. A relapse is better discussed than hidden.
How treatment works
- 01Call or WhatsAppThe administrator and the doctor on duty clarify the situation and tell you what to do right now.
- 02Examination or consultationThe doctor visits your home, sees you at the clinic or joins by video.
- 03Treatment planWe choose the format — at home, inpatient, psychotherapy or rehab — with a clear price.
- 04Ongoing supportYour doctor and psychotherapist stay in touch: follow-ups, family support and relapse prevention.
Myths and facts
MythCoding lasts forever
FactAny method works for a certain period and does not “erase” the addiction. The goal is to give the person a period of sobriety during which they can restore their health and learn to live differently. Promises of “forever” are a sign of dishonesty.
MythA person can be coded without their knowledge
FactNo. An adult patient is coded only with their written informed consent. Secret methods and “slipping” drugs into food or drink are illegal and dangerous to health, and no reputable clinic does this.
MythOnce you are coded, you no longer need treatment
FactCoding is one tool, not the whole treatment. Without addressing the causes of the addiction, the risk of relapse after the period ends remains high. That is why the doctor always discusses the next steps.
Prices: Alcohol aversion therapy (coding)
| Alcohol aversion therapy (coding) | |
| Addiction doctor home visit: examination and advice | 20 000 ₸ |
| Repeat IV drip the next day | 20 000 ₸ |
| 24 hours in the inpatient unit | 45 000 ₸ |
| Phone consultation | free |
Prices are approximate: the doctor confirms the exact cost after the examination, before treatment starts.
Confidential
We do not register patients with state dispensaries or share information with employers. You do not have to give your surname; doctors arrive in unmarked cars. Medical confidentiality is protected by the Code of Kazakhstan “On Public Health and the Healthcare System”.
Clinic addresses
FAQ
How many days do you need to stay sober before coding?
The period of sobriety depends on the method and the person's health: usually from several days to a week or longer. The doctor will tell you the exact period at the consultation. This is not a formality: giving certain medications while alcohol is still in the body can be life-threatening.
Which coding method is best?
There is no universally best method. The doctor selects an option based on the person's health, drinking history, past treatment experience and personal preferences. For some, medication support matters more; for others, a psychotherapeutic method. The decision is made together with the patient.
For how long is a person coded?
The period is discussed in advance and depends on the method: usually from several months to a year, sometimes longer. Many people start with a short period to test their readiness and then extend it. The doctor explains what will happen when the period ends and how to prepare.
What happens if you drink after coding?
It depends on the method: with some medications a severe reaction is possible — flushing, palpitations, shortness of breath and a drop in blood pressure. If this happens, call 103 or 112 immediately and tell them about the coding. With psychotherapeutic methods the reaction is different, but a relapse is a reason to see a doctor right away.
Can a person be coded again?
Yes, repeat coding is possible — with the same or a different method. The doctor will always go over what led to the previous relapse and suggest stronger support: psychotherapy, family work or an outpatient program. This helps avoid repeating the same scenario.
Will anyone find out about the coding?
No, unless you tell them yourself. At Akalam, the procedure is carried out anonymously, without registration with the state addiction (dispensary) registry, and information 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.
Sources and review
Prepared by the Akalam medical editorial team based on:
- ICD-10 and ICD-11: mental and behavioural disorders
- Clinical protocols of the Ministry of Health of Kazakhstan
- Code of Kazakhstan “On Public Health and the Healthcare System”
- WHO: mental health and substance use
- NICE and APA clinical guidelines
This information is for reference and does not replace a doctor's consultation. Editorial policy