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There are programs offered in or near Altamont that cater to both methadone and buprenorphine clients only, controlled medications which 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 nerve cell receptors that make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid dependent client will ideally not engage in drug seeking behavior and won't experience withdrawal symptoms. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also causing them to feel high. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment goal is to handle the physical symptoms of their dependence. Some centers do offer a limited amount of counseling and therapy as secondary services, and this is recommended and encouraged.
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