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There are substance abuse programs offered in or near Wahkiacus that cater to both methadone and buprenorphine clients only, drugs which are used in what is called 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 activated by these two drugs so therefore an opioid dependent client will instead not become involved in addict behavior and won't have withdrawal symptoms. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time causing them to feel euphoria. 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 generally limited beyond managing the medication and the primary treatment goal is to handle the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and group therapy as secondary services, and it is recommended and encouraged.
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