There are substance abuse programs available in or near Ellsworth that cater to both methadone and buprenorphine clients only, controlled medications that 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 which cause an individual to feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will instead not engage in addict 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 highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications regularly 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 a high dosage, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment objective is to treat the physical symptoms of their dependence. Some clinics do offer a limited amount of counseling and group therapy as secondary services, and it is encouraged.
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