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There are programs available in or near Great Cacapon that cater to both methadone and buprenorphine clients only, drugs which 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 that make a person feel high from heroin or prescription pain killers are activated by these two drugs so therefore an opiate addicted client will instead not become involved in drug seeking behavior and won't have 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 heavily regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications regularly so they don't experience cravings, withdrawal, etc. but ideally at a dose which isn't also making them feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At centers which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some programs do offer a small amount of counseling and group therapy as auxiliary services, and this is recommended and encouraged.
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