There are programs available in or near Hankamer which service both methadone and buprenorphine clients only, controlled medications which 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 neural receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opioid addicted client will ideally not engage in drug seeking behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also causing them to feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment goal is to handle the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a small amount of counseling and group therapy as secondary treatment, and it is recommended and encouraged.
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