There are programs available in or near Pickens which service both methadone and buprenorphine clients only, medications that are administered 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 neural 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 no longer become involved in addict behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also 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 this and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a limited amount of counseling and group therapy as supplementary treatment, and it is encouraged.
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