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There are substance abuse programs available in or near Kelso which service both methadone and buprenorphine clients only, medications that are used in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid addicted client will ideally not become involved in addict behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel euphoria. Euphoria can be experienced at a high dosage, 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 main treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a small amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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