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There are recovery programs offered in or near Big Stone Gap which service both methadone and buprenorphine clients only, controlled medications that are administered 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 neural receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opioid addicted client will ideally no longer become involved in addict behavior and won't have withdrawal symptoms. There are risks of side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time making them feel high. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a limited amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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