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There are programs available in or near Neal that cater to both methadone and buprenorphine clients only, controlled medications which 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, meaning the same neural receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate dependent client will ideally not become involved in addict behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to treat the physical symptoms of their dependence. Some clinics do provide a limited amount of counseling and group therapy as secondary services, and it is encouraged.
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