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There are addiction programs available in or near Dorchester that cater to both methadone and buprenorphine clients only, drugs that are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same neural receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opiate dependent client will instead not engage in addict behavior and won't have cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly regulated 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 dose which isn't at the same time causing them to feel high. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the primary treatment objective is to manage the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a limited amount of counseling and group therapy as secondary services, and this is recommended and encouraged.
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