For patients with psych disorders, which medication is listed for appetite management?

• A. Phentermine/topiramate
• B. Metformin
• C. Orlistat
• D. Lorcaserin

Answer: (B)

Managing weight in people with psych disorders often focuses on countering antipsychotic‑induced weight gain. Metformin is often listed for this purpose because it improves insulin sensitivity and reduces hepatic glucose production, which helps with weight control and metabolic risk. Over time it can lead to modest weight loss, making it a practical choice in patients whose psychiatric treatment plans already involve metabolic concerns.

The other options don’t fit as well in this specific context. Phentermine/topiramate is a powerful weight‑loss combo with stimulant-like effects that can worsen anxiety or agitation in someone with a psychiatric condition. Orlistat reduces fat absorption but doesn’t address appetite or weight directly. Lorcaserin has safety concerns and isn’t a typical choice in psychiatric care.