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There are programs offered in or near Gobles that cater to both methadone and buprenorphine clients only, controlled medications which are administered 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 which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will instead not engage in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily 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 ideally at a dose which isn't at the same time making them feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a limited amount of counseling and group therapy as auxiliary treatment, and it is encouraged.
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