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There are recovery programs available in or near Pullman that cater to both methadone and buprenorphine clients only, controlled medications that 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 neural receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will ideally not become involved in drug seeking behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be administered in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a limited amount of counseling and therapy as secondary treatment, and it is recommended and encouraged.
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