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There are recovery programs offered in or near Quinnesec which service both methadone and buprenorphine clients only, medications that are administered in what is called 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 that cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate addicted client will ideally no longer engage 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 controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria is possible at at higher dosages, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment goal is to handle the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a limited amount of counseling and therapy as secondary services, and this is recommended and encouraged.
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