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There are substance abuse programs offered in or near Montague which service 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, which means the same neural receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so that an opiate dependent client will ideally no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also causing them to feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some programs do provide a small amount of counseling and therapy as supplementary services, and it is recommended and encouraged.
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