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There are programs offered in or near Rockbridge that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as 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 therefore an opioid dependent client will instead no longer become involved in addict behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications daily so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't at the same time causing them to feel high. 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 limited beyond managing the medication and the main treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and group therapy as secondary treatment, and it is recommended and encouraged.
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