There are substance abuse programs offered in or near Johnson City 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 dependent client will instead not engage in drug seeking behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time making them feel euphoria. Euphoria occurs at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some centers do provide a limited amount of counseling and group therapy as secondary services, and this is recommended and encouraged.
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