There are programs offered in or near Fredericksburg which service both methadone and buprenorphine clients only, medications that are administered 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 activated by these two drugs so therefore an opioid addicted client will ideally not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel high. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to manage the physical symptoms of their dependence. Some clinics do provide a small amount of counseling and group therapy as supplementary treatment, and this is recommended and encouraged.
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