There are programs offered in or near Young America which service both methadone and buprenorphine clients only, controlled medications which are dispensed 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 nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will instead no longer engage in addict behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be dispensed 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 also causing them to feel euphoria. Euphoria can be experienced at a high dosage, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment objective is to treat the physical symptoms of their dependence. Some centers do provide a limited amount of counseling and group therapy as auxiliary treatment, and this is recommended and encouraged.
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