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There are substance abuse programs available in or near Marcellus that cater to both methadone and buprenorphine clients only, drugs that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same neural receptors which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate dependent client will instead no longer engage in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't at the same time causing them to feel euphoria. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to manage the physical symptoms of their dependence. Some clinics do deliver a limited amount of counseling and therapy as secondary treatment, and it is encouraged.
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