There are programs available in or near Green Mountain that cater to both methadone and buprenorphine clients only, drugs that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opiate addicted client will instead not engage in addict behavior and won't experience cravings and withdrawal. There are risks of side effects, drug interactions, and even 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 regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also making them feel euphoria. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment objective is to manage the physical symptoms of their dependence. Some clinics do provide a small amount of counseling and group therapy as supplementary treatment, and it is encouraged.
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