There are recovery programs available in or near Methow which service both methadone and buprenorphine clients only, 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, which means the same neural receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opioid addicted client will ideally no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with 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 administered in a clinical setting.
Buprenorphine and methadone clients are on these medications daily so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also causing them to feel euphoria. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the primary treatment objective is to address the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and group therapy as supplementary services, and it is encouraged.
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