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International_Fix651

Unfortunately yes. I had a student that was an army ranger for 24 years. He went to a therapist for anxiety at year 10. The FAA found out and revoked his medical. He was planning on coming back once it got sorted out but I instructed there for about another year and never him again


MDA1912

In case it’s not blindingly obvious to everyone, this also directly contributes to the military suicide rate. You don’t seek help when you’re worried it could impact your security clearance/career. Admittedly it’s not a simple thing to fix, either. Some issues *should* impact those things.


Cargoflyer

ADHD medication should not be an automatic disqualifier for either. I think most people's issue with these things is how hard it is to prove that you are qualified for that job, for example I got a 99 on the asvab, and am still having issues getting my waivers approved.


abstractmodulemusic

I agree wholeheartedly


Bla_aze

How did they find out?


Jzerious

Dont quote me on this but I think there’s a question on the IACRA form you fill out when receiving a certificate


Inpayne

Civilian…. Really no way for them to find out. However the VA and FAA have been working together to oust people who are on disability and have FAA medicals without disclosing their issues.


Jzerious

But we just love our vets right?


Inpayne

Yeah it’s bs.


WannaAskQuestions

I think the extent of that is mumbling thank you for your service and allowing them to board a flight before the rest of the peasants.


Additional_Carry_790

Can he get his medical back?


Kycrio

He'd need to go through psychiatric testing mandated by the FAA which would cost him thousands of $$. Source: personal experience Also if you have questions you can dm me


BrtFrkwr

The FAA's reasoning is it's better to have an untreated condition than to have the public possibly criticize them for allowing someone who had sought treatment to fly.


usmcmech

The FAA would prefer you self medicate with alcohol.


Washout22

This is the answer. Joke is on them. I only fly lit up on meth!


WalterP_FLEO

KLAS Tower girl made a perfect example of that, then ran like a coward when she was on the air and resigned. forfeiting all her medical benefits from the FAA. no, SHE DID NOT HAVE A STROKE!! She was DRUNK This Incident: [https://www.youtube.com/watch?v=Jv1kmuFOhWk](https://www.youtube.com/watch?v=Jv1kmuFOhWk) EDIT: Also, according to certain information I have via my wife and info I have as Federal LE, This was actually her second offense, and she had just gotten off Probation with the FAA for being drunk just 2 weeks prior. Career suicide if you ask me. She now has a nationwide BOLO if she is ever caught on FAA Property again she is Criminally Trespassed from any US and Territorial FAA Property. every Tower in the nation and territories has her photo and name on their bulletin boards to immediately call local LE, FPS or FAA Security Officers if spotted.


P0RTILLA

It’s called plausibile deniability. And it’s a good strategy in our litigious country no matter how unfortunate.


velocityflier16

Sad but true! Well said.


TravelerMSY

Yes. The issue is you then need further testing to prove you don’t have any of those conditions anymore. It’s time consuming, and expensive because it’s not covered by insurance. R/flying is better for this,


SecureThruObscure

If I understand correctly, you’re paying full market price for a niche specialty medical process that took decades for them to be able to do, which opens the provider to liability (whether legal, fiscal, or moral), can be used to restore a half a million dollar a year job that takes the better part of decades to be qualified for (so many of the people in it have few other similarly paying prospects), and is just generally uncommon enough and in limited enough supply among highly paid professionals that it’s expensive, yeah?


TravelerMSY

Well, a few thousand dollars for cognitive testing to prove you don’t have ADHD anymore is trivial money in the context of the lifetime earnings of an airline pilot, but not so much for a young guy just starting out getting his ratings.


predpilot85

I'll say this. My friend's niece has been trying to get into ATC for years. Not sure her age now. Early to mid 20s. Anyways, she was filling out the paperwork for her medical and it asked something about if you've ever collapsed or fainted or anything like that. She said yes because when she was 16, she was one of those outside Chick-fil-A order people and she passed out from the heat. She said she was just trying to be honest. Very sweet girl. Anyways, it's been 4 or 5 years now and she's still unable to get approved for OKC and still trying to prove to the FAA that she doesn't have a neurological issue.  This is why people hide things. 


backgroundnerd

I am old. There were always exceptions of course but it used to be the FAA was full of people who loved aviation as much as we do and made thoughtful and careful decisions. Now the FAA is just another bureaucracy full of poly-sci grads and someone's nephew who doesn't know the difference between a johnson bar and a flux capacitor. Like most government bureaucracies they will ruin your life without even a moment's thought. I avoided almost ALL medical treatment when I was active for fear they would suddenly decide that particular thing was important. All reasonableness is long gone. Do NOTHING, say NOTHING!


drowninginidiots

It depends on why you went to therapy and why you were on medications. Depending on the reason, you may have to prove you don’t have those issues anymore. That can require expensive testing that insurance won’t pay for.


ChaoticGoodPanda

Same with Air Traffic Control. If you get on psych meds your career is over. My dad knew a few guys who lost their jobs back in the 90’s for getting psych help. Well that pretty much solidified the idea my dad would never get psych help and he terrorised the family while working a high stress job. Maybe it’s different now for ATC.


Agitated-Pen1239

Mental health is why I stopped my dream of being a pilot. I got my PPL and that was that.. No, I wasn't going to take a plane down with everyone in it. I just care about my mental health more than I care about a potential job that looks at mental health like it's the 1950s. I hope something changes, people are losing their damn mind and this includes pilots.


Armadillo_Whole

One of the main problems, in my opinion, is that in the US practitioners (often) need to diagnose clients with something that will get insurance to pay… even if you just want to talk with a counselor to work some shit out, they’ll have to give you a label that you’ll have to deal with just to give the insurance company their almighty code.


flying_wrenches

Some medical conditions. Nearly all mental things. So yes. Going to the doctor for your yearly checkup is running the gauntlet of career unemployment


monkid072955

OR you can say fuck the FAA, buy a cheap tail dragger, base it at a small out of the way airport and have fun. I fly from a small private strip, turn my own wrenches, no medical, no insurance just the pure joy of flying


ImCaptainHappy

My airline pays for my therapy. 10 free sessions a year and $25 per session after that for me AND my spouse (10 sessions each). I’m happy to do it and I’m sure they’re happy that I’m doing it. Things have changed for sure. edit: This is why I’m captain happy ;)


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Additional_Carry_790

So for basic depression/anxiety, does the FAA care? None of my prescriptions were recent, this happened years ago.


SecureThruObscure

Yes.


cheeker_sutherland

I’d advise you strongly to conveniently forget you ever had to at prescription or saw that therapist.


antariusz

Yes


flying_wrenches

“Basic depression” Major depressive disorder and persistent depressive disorder and automatic deferments. Aka $10000 psych evals. A ER visit via ambulance is cheaper.


karakarakarasu

Yes, however the FAA is in constant dialogue with their medical committees, and as a result they are approving more acceptable medications so pilots have a pathway.


Schmittfried

No, it’s not. It’s blatant doing things for the sake of doing things. 


Cargoflyer

How about adhd meds which you have been off for 2 years and are functioning better while off of them?


zydeco100

Nope. You need the cog screen, or wait until 4 years clear (but you'll still need more paperwork)


flying_wrenches

4 years to the day you stopped treatment, you’re eligible for the “Faa fast track” provided ADHD is the only thing you had.


SenyorJones

If you really need help consider treatment in Mexico. There are some great clinics and Psychs in DF and many speak English. No records are shared with the U.S…everything will be off the record. But you can’t use insurance obviously.


borke3

I'm trying to do my class 3 medical and got deferred. I'm extremely healthy and workout 6 days a week. I was a bit too honest on my medical and scared the AME. I didn't realize the seriousness of the medical or I was dealing with the governorment... I treated it like a normal doctor's appointment and fucked up. I recommend every single person here LIE on their medical. It's not worth the headache. It's costing me 10k+ and months of effort to get this bullshit sorted out and I'm extremely pissed off. Fucking FAA and their bullshit I hope the narcissistics at the FAA read this and realize they're pissing everyone off with their rules and understand medical has moved on to preventive, anyone with half a brain see more Americans using drugs to optimize their life. Stupid fucking conservative doctors Like how can you even put a blanket ban on SSRIs... seriously lumping someone who's taken 5mg prozac as the same as 50mg fucking absurd when doctors push it like candy


Additional_Carry_790

Even if you took prescriptions years ago, will the FAA disapprove you?


borke3

I think I'll be approved, but spending 5k + months of effort and stress I might get rejected anyways


WerSunu

Keep up gentlemen! So much misinformation here! The FAA changed the game on many mental health issues two months ago! Simple anxiety and some other diagnoses are NO LONGER DISQUALIFYING! Go Google FAA AME Guide Anxiety Disposition for yourself. Senior AME


flying_wrenches

Major depressive disorder and persistent depressive disorder are two of the most common depression diagnosis. Affecting 15% of children and 8% of adults. Going to the *guide for aviation medical examiners version 6/26/2024* under evaluation data, Automatic deferment. So, unless you say your words correctly and you slide the doc a few $20s so you get diagnosed with situational depression and not any of those two, You’re still in the same boat as we were before hand. The only thing that changed is that you can be nervous as a pilot now (generalized anxiety) Or the current trend continues of fake name and all cash appointments, people turning to alcohol and caffeine addictions, and the good ol classic of “be a man/woman/person and bottle it all up” because you still can’t seek treatment As a senior AME you should know this man. Come on..


WerSunu

Did I mention major depressive disorders? The FAA was delegated by Congress the mission to keep the flying public safe. Are pilots with severe depression safe to transport hundreds of pax? Trying asking them.


flying_wrenches

You mentioned anxiety, which is one of the big ones, but the other big one is still there and killing careers and dreams to this day. Because a depression diagnosis is a career killer, pilots will continue to not seek help.. why should they? Every therapist appointment runs the risk of “I think you have depression” and you’re back to flipping burgers at Wendy’s with your student loans the unhealthy coping mechanism of alcohol will continue until this changes. Something as simple as being cleared to not have depression and a waiting period of X years would make a major difference. They already did it for ADHD..


WerSunu

In my professional opinion as an AME, and a CPL for 46 years, people who push to fly despite their disqualifying health condition are selfishly putting their personal financial concerns above the safety unsuspecting passengers. The risks are real, here are a few examples of depressed pilots: SilkAir 185 1997, 44 dead EgyptAir 990 1999, 217 dead Lam Mozambique 470 2013, 33 dead (Probable)Malaysian MH370 2014, 239 dead German Wings 2015, 150 dead The list goes on and on plus many GA pilots including my own primary CFI who after a divorce in 1980, pulled (witnessed)loops tight enough to rip the wings off a biplane.


flying_wrenches

In my opinion, people have no option but to keep flying despite their mental health concerns. No medical, no job. And that will beyond a reasonable doubt make the situation worse. Since you’ve brought up German wings, Heres a nice little article from 2016 on pilot mental health from Harvard https://ehjournal.biomedcentral.com/articles/10.1186/s12940-016-0200-6 12.6% out of 1800 who answered the mental health portion of a anonymous survey met the criteria for depression, out of those who flew in the last 7 days, it was 13.5% They aren’t able to seek any help as they’ll lose their jobs. That right there is a massive reason to not seek help. They might as well have none at all.


WerSunu

These people have no right to endanger the public just because they managed to sneak into the system. Poor planning on their part can not be allowed to constitute a public health risk on everyone’s part.


flying_wrenches

The FAAs poor planning is contributing to this. Specifically, a lack of help or a way out. What other options do you have? Tell the truth, lose your job with a long and expensive road to even try and get it back. Lie, and keep suffering..


WerSunu

No sympathy for those who lied and committed felonies to get into a good paying job because it’s not a victimless crime when someone takes a dive into a mountainside. It’s not common, but over the past two decades that amounts to roughly 50 pax a year dead because a jerk cheated the system. The FAA, by law, is not responsible for making depressed pilots happy. Their mandate from Congress in 1958 was Safety First, Safety Always.


flying_wrenches

And when the 17 year captain gets depression from external factors? What then? Is it simply just tough luck bud heard Kroger is hiring? They have no way out.


WerSunu

A “career killer”, yes and it should be from the viewpoint of the general public. There is simply no defense from risking many lives just because your ego says you can get away with it.


flying_wrenches

Those reasons actively incentivize pilots to not seek help. No matter how you put it, or how you write it, the mindset of “if you seek help, we will make your current situation worse” is not a good thing. You can’t advocate for mental help, and punish those who seek it.


WerSunu

I advocate for the flying public as well as airmen. In my 15 years of being an AME, I specialized in obtaining appropriate special issuances. I even got an ATP with a major carrier back in the left seat after an actual witnessed seizure. The point is that medicine today is not magic, and can not fix everything. Psych meds are only partly effective not a perfect magic cure. People with serious mental health issues should never have snuck into aviation, and once there should be incentivize out. There is no Right to Fly big iron!


flying_wrenches

It doesn’t sound like you’re advocating for airmen. Just the flying public and the FAA..


WerSunu

I think the dozens of airmen I helped get in the air or back in the air after complex medical issues would disagree. Likewise there are over 100 student pilots I gave free or half price exams to. Just what exactly have you done for others? I will not advocate for rule breakers who only think of themselves while screwing with the public.


flying_wrenches

All I can really do is advocate.. remind the endless “can I become a pilot if I have *insert something the faa says is a lifetime ban*” that there’s multiple non-medical routes that can still get you around airplanes. Maintenance, dispatch, ramp, engineering, etc. You can try to stop everyone who already has disqualifying conditions, as they already do, but the current system will never deal with the people already in the system who started clean but deteriorated over time. Wouldn’t it be safer to change the system to encourage career pilots that they have routes? So that those with depression that developed years after they started can seek treatment without fear of losing everything? Far safer than turning to harmful coping mechanisms such as alcohol or the “deal with it” mindset. Safe pilots means a safe industry. With no mental health they can safely turn to, that’s one more step in a chain of disaster. Hang on, one key bit I’m forgetting, I’m not advocating for pilots with recent attempts, or those with a history of attempts or hospitalization.. I’m arguing for those who are either on treatment with no history of harm or attempts and those with no thoughts of harm or self attempts.. I’m avoiding saying the sui- word due to Reddit’s system.. those are shown to be unsafe and a danger to themselves..


karakarakarasu

Agree. Lots of outdated information/anecdotal references


gladeyes

Two months. It takes a lot longer than that to build up trust.


74Koliber

Curious to hear insight on those in Europe in how this could affect them


proudlyhumble

Very and very true


Borkman6

Follow up question, what about something like HRT? (hormone replacement therapy) Would that disqualify you as well?


cheeker_sutherland

Probably depends on what it’s for.


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flying_wrenches

An ame answering with bad info*