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There are addiction programs available in or near Diomede which service both methadone and buprenorphine clients only, controlled medications that are used 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 nerve cell receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid dependent client will instead no longer engage in drug seeking behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, 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 withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel high. Euphoria is possible at at higher dosages, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to address the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and group therapy as auxiliary services, and this is recommended and encouraged.
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