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There are programs available in or near St. Albans that cater to both methadone and buprenorphine clients only, controlled medications which are used in what is known as 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 that cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opioid addicted client will ideally not become involved in drug seeking behavior and won't have cravings and withdrawal. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel high. Euphoria occurs 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 address the withdrawal symptoms and put an end to the illicit drug use. Some centers do provide a small amount of counseling and therapy as secondary services, and this is encouraged.
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