There are addiction programs offered in or near Spirit Lake which service both methadone and buprenorphine clients only, drugs which are dispensed 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 make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will ideally no longer engage in addict behavior and won't experience withdrawal symptoms. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond this and the main treatment goal is to address the physical symptoms of their dependence. Some centers do provide a small amount of counseling and therapy as supplementary treatment, and this is recommended and encouraged.
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