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There are recovery programs offered in or near Suquamish that cater to both methadone and buprenorphine clients only, controlled medications which 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 neural receptors which make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opioid addicted client will ideally no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel euphoria. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some programs do deliver a small amount of counseling and therapy as supplementary services, and this is encouraged.
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