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There are programs offered in or near Montpelier 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, meaning the same neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will ideally no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't at the same time making them feel euphoria. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some programs do provide a small amount of counseling and group therapy as supplementary services, and it is recommended and encouraged.
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