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There are addiction programs offered in or near Greenwich which service both methadone and buprenorphine clients only, drugs that are administered in what is known as 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 heroin or prescription pain killers are activated by these two drugs so that an opiate dependent client will ideally not engage in drug seeking behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't also making them feel euphoria. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are limited beyond managing the medication and the primary treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and therapy as supplementary treatment, and this is encouraged.
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