There are recovery programs available in or near Georgetown that cater to both methadone and buprenorphine clients only, controlled medications which are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which cause an individual to 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 addict behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and 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 at the same time making them feel euphoria. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the main treatment goal is to manage the physical symptoms of their dependence. Some centers do provide a small amount of counseling and therapy as supplementary treatment, and this is encouraged.
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