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There are substance abuse programs offered in or near Cocolalla that cater to both methadone and buprenorphine clients only, drugs that are used in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid dependent client will instead no longer become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time causing them to feel euphoria. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some clinics do offer a limited amount of counseling and group therapy as supplementary services, and it is encouraged.
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