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There are substance abuse programs available in or near Leonardville that cater to both methadone and buprenorphine clients only, medications that are used in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as 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 stimulated by these two drugs so therefore an opioid dependent client will ideally not become involved in addict behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the main treatment goal is to address the physical symptoms of their dependence. Some centers do deliver a small amount of counseling and therapy as secondary services, and this is encouraged.
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