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There are recovery programs available in or near Williamsburg which service both methadone and buprenorphine clients only, controlled medications that are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opioid addicted client will instead not become involved 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 heavily regulated and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly 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 a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and therapy as auxiliary treatment, and it is encouraged.
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