Which of the following is not routinely included in a standard history and physical but is included in a psychiatric interview?

In a psychiatric interview, the inclusion of legal history can be particularly important because it provides insight into factors that may be influencing a patient's mental health and behavior. Legal issues may reflect underlying psychological distress or social circumstances that need to be addressed as part of the patient’s overall understanding and treatment.

Typically, a standard history and physical exam focuses more on the biomedical aspects of a patient’s health, such as the history of present illness, family history, and any substance use history. These components are essential to forming a clear medical picture. However, legal history is not regularly incorporated into the physical examination context and might only be asked in specific cases where it may relate directly to the patient’s mental health or treatment plan.

Including legal history in a psychiatric assessment underscores the holistic approach often taken in mental health evaluations, where social, legal, and environmental factors are acknowledged as relevant to a patient's condition and treatment. Thus, the emphasis on legal history distinguishes psychiatric interviews from standard medical evaluations.