There are programs offered in or near Marion that cater to both methadone and buprenorphine clients only, controlled medications which are used in what is called 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 that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opioid dependent client will instead no longer become involved in addict behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, 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 occurs at a high dosage, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a small amount of counseling and group therapy as auxiliary treatment, and it is recommended and encouraged.
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