There are programs available in or near Thief River Falls that cater to 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, which means 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 opiate addicted client will instead no longer engage in addict behavior and won't have withdrawal symptoms. 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 prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time causing them to feel high. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment objective is to treat the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as supplementary services, and it is recommended and encouraged.
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