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There are programs available in or near Shelby which service both methadone and buprenorphine clients only, controlled 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, meaning the same neural receptors that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will ideally not engage in drug seeking behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment objective is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a small amount of counseling and therapy as secondary services, and it is encouraged.
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