There are recovery programs available in or near Portland which service 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, which means the same neural receptors that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate addicted client will instead not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience withdrawal symptoms, etc. but ideally 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, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment objective is to manage the physical symptoms of their dependence. Some programs do offer a small amount of counseling and therapy as secondary services, and it is encouraged.
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