There are addiction programs available in or near Wyandanch which service both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will instead not become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, 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 take these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to address the physical symptoms of their dependence. Some clinics do provide a small amount of counseling and therapy as secondary services, and it is recommended and encouraged.
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