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There are recovery programs offered in or near Spring Arbor which service both methadone and buprenorphine clients only, drugs that are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate dependent client will instead no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage 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, actual rehabilitation activities and therapies are limited beyond managing the medication and the main treatment objective is to handle the physical symptoms of their dependence. Some clinics do provide a limited amount of counseling and group therapy as secondary services, and this is recommended and encouraged.
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