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There are substance abuse programs offered in or near Christiansburg that cater to both methadone and buprenorphine clients only, drugs which are administered in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same neural receptors which make a person feel high from morphine or heroin are stimulated by these two drugs so therefore an opiate addicted client will ideally not become involved in addict behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't also making them feel euphoria. Euphoria occurs 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 primary treatment objective is to address the physical symptoms of their dependence. Some clinics do offer a limited amount of counseling and therapy as supplementary treatment, and it is recommended and encouraged.
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