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There are programs available in or near Nashville which service both methadone and buprenorphine clients only, controlled medications which are administered in what is known as 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 which make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opiate addicted client will ideally no longer engage in addict behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even 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 regularly so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also causing them to feel euphoria. Euphoria is possible 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 main treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a small amount of counseling and therapy as secondary treatment, and it is recommended and encouraged.
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