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There are substance abuse programs offered in or near Ophiem that cater to both methadone and buprenorphine clients only, medications that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that make a person feel high from morphine or heroin are activated by these two drugs so therefore an opiate addicted client will ideally not become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel euphoria. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and group therapy as secondary treatment, and it is encouraged.
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