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There are programs offered in or near Newburg that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed 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 cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opiate dependent client will instead no longer become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't at the same time causing them to feel euphoria. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, treatment therapies are limited beyond this and the main treatment objective is to address the physical symptoms of their dependence. Some programs do deliver a small amount of counseling and therapy as secondary treatment, and it is recommended and encouraged.
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