There are programs available in or near Lynchburg 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 the same as 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 opiate dependent client will instead no longer engage in addict behavior and won't have withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also making them feel high. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment objective is to manage the physical symptoms of their dependence. Some clinics do offer a limited amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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