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There are programs offered in or near Paragonah that cater to both methadone and buprenorphine clients only, controlled medications which 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 nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid dependent client will instead no longer engage in drug seeking behavior and won't have withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't also causing them to feel euphoria. Euphoria occurs at a high dosage, more significantly 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 goal is to address the physical symptoms of their dependence. Some programs do provide a small amount of counseling and group therapy as secondary treatment, and this is encouraged.
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