There are recovery programs available in or near Toutle that cater to both methadone and buprenorphine clients only, controlled medications that 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 activated by these two drugs so that an opioid dependent client will ideally no longer become involved in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also causing them to feel euphoria. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the primary treatment objective is to handle the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a limited amount of counseling and group therapy as auxiliary treatment, and it is encouraged.
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