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There are addiction programs offered in or near Montpelier which service both methadone and buprenorphine clients only, controlled medications that are administered in what is called 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 morphine or heroin are activated by these two drugs so therefore an opioid dependent client will ideally not engage in addict behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, 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 are on these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also making them feel euphoria. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to address the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as auxiliary services, and it is recommended and encouraged.
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