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There are substance abuse programs offered in or near Westby that cater to both methadone and buprenorphine clients only, 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, meaning the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so that an opiate addicted client will instead no longer become involved in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dosage which isn't also causing them to feel high. Euphoria occurs at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment objective is to treat the physical symptoms of their dependence. Some clinics do offer a limited amount of counseling and group therapy as secondary treatment, and this is recommended and encouraged.
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