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There are substance abuse programs available in or near Marshall that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opiate dependent client will ideally no longer become involved in drug seeking 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 administered in a clinical setting.
Methadone and buprenorphine clients take these medications consistently 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 is possible at at higher dosages, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment goal is to handle the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and therapy as auxiliary services, and it is encouraged.
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