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There are programs offered in or near New Holland that cater to both methadone and buprenorphine clients only, medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same neural receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will instead no longer engage in addict 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 highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't at the same time making them feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the main treatment goal is to address the physical symptoms of their dependence. Some programs do deliver a limited amount of counseling and group therapy as secondary services, and it is recommended and encouraged.
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