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There are substance abuse programs offered in or near Wasilla that cater to both methadone and buprenorphine clients only, drugs which are used 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 make a person feel high from morphine or heroin are activated by these two drugs so therefore an opiate addicted client will ideally not become involved in addict behavior and won't have withdrawal symptoms. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed 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 also causing them to feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment goal is to handle the physical symptoms of their dependence. Some programs do provide a limited amount of counseling and group therapy as auxiliary services, and this is encouraged.
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