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There are substance abuse programs available in or near Darien 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 just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors that make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate addicted client will instead not become involved in addict behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel euphoria. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to address the physical symptoms of their dependence. Some programs do offer a small amount of counseling and therapy as secondary treatment, and this is encouraged.
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