There are addiction programs available in or near Crozet which service both methadone and buprenorphine clients only, drugs that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell 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 not become involved in addict behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and 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 consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time causing them to feel euphoria. Euphoria is possible 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 treat the physical symptoms of their dependence. Some programs do provide a small amount of counseling and therapy as auxiliary services, and this is recommended and encouraged.
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