This is particularly true for mental health symptoms. The FAA bars pilots from the cockpit if they report seeking regular talk therapy for even mild anxiety or depression; this may last for months and sometimes even years based on the assumption they pose an unacceptable risk to safety.
The FAA encourages pilots to seek help if they have a mental health condition since most, if treated, do not disqualify a pilot from flying.
The use of a psychotropic drug is disqualifying for aeromedical certification purposes. This includes all sedatives, tranquilizers, antipsychotic drugs, antidepressant drugs (including SSRI's - see exceptions), analeptics, anxiolytics, and hallucinogens.
If both the counselor and the individual feel it is safe to continue aviation duties AND no medications are required, the pilot may generally continue to fly and attach a summary from the counselor at the next medical examination.
Both males and females in aviation are equally susceptible to mental health issues. There is a negative stigma around mental health in aviation. A study showed that pilots assumed fellow pilots who were unsociable most likely have a mental health illness.
Attention-Deficit/Hyperactivity Disorder ( ADHD ), formerly called Attention Deficit Disorder ( ADD ), and medications used for treatment may result in cognitive deficits that would make an airman unsafe to perform pilot duties.
The prevalence of depression (12.6%) among pilots from our study is much higher than some studies utilizing identifiable surveys and medical records [19, 20] and possibly lower than another study [31].
These medical conditions include a personality disorder manifested by overt acts, a psychosis, alcoholism, drug dependence, epilepsy, an unexplained disturbance of consciousness, myocardial infarction, angina pectoris, and diabetes requiring medication for its control.
The Aircraft Owners and Pilots Association has a list of these medications that are not allowed for pilots who hold FAA-issued medical certificates, because the FAA has determined that they have the potential to interfere with the safe operation of an aircraft. Xanax is one of these medications.
To date, no written guidelines exist for the use of sildenafil and flying. Pursuant to the Guidelines for Aviation Medical Examiners, all medication use must be reported. However, the “as needed” use of sildenafil may result in confusion for pilots.
The SSRI pathway only allows consideration for pilots who take one of four SSRIS: fluoxetine (Prozac), citalopram (Celexa), escitalopram (Lexapro), or sertraline (Zoloft). As of 2023, a pilot can also be approved taking sustained-release or extended-release bupropion (Wellbutrin).
Nevertheless, language skills and cognitive development are not impaired and someone diagnosed with Asperger syndrome may be able to acquire the skills necessary to function safely as a pilot or air traffic controller.
To that end, there are many airmen who are able to obtain aeromedical certification with the FAA (of any class), despite having a VA disability rating for conditions such as PTSD, obstructive sleep apnea, and traumatic brain injury.
While your PTSD may be in remission, the FAA can still consider you for certification even if you are receiving counseling for PTSD. Specifically, the FAA will frequently issue a special issuance authorization to airmen who require ongoing counseling for PTSD.
Is Being a Pilot Stressful? Now to answer the most important question of this article: “is it stressful to have an avaiation job?” The simple answer is no, the flying profession offers many benefits that other professions would not get you. This eliminates plenty of stressful events from happening in your life.
One statistic commonly quoted is based on a 2011 study by the Aircraft Owners and Pilots Association, which found only 20% of flight school students achieve their private pilot certification.
As a result, many pilots fly with incomplete understanding and control, sometimes contributing to our LOC-I statistics. These early flight lessons are where an educator has the greatest opportunity to make a difference and move the needle on safety, but it is also the hardest job in aviation.
The lifestyle of a professional pilot can be quite challenging. Pilots often have to work long hours and are often away from home for extended periods of time. However, pilots also enjoy many benefits, such as flexible schedules, dedicated time off, and an above-average income at the airline level.
Due to the risks to flight safety posed by ADHD, regulatory authorities worldwide consider ADHD a disqualifying condition for pilots. Unfortunately, pilots sometimes fail to disclose ADHD to their Aviation Medical Examiner (AME).
FAA policy on depression and other mental health conditions. To fly, pilots must have a medical certificate approved by an FAA aviation medical examiner (AME). Under the current guidelines, depression, anxiety, and similarly categorized psychological conditions don't lead to automatic disqualification.
A typical pilot, according to the study, is one who is “low in anxiety, vulnerability, angry hostility, impulsiveness, and depression. This person also tends be very conscientious; being high in deliberation, achievement-striving, competence, and dutifulness. He also tends to be trusting and straightforward.
Through the study, it was found that mental workload of stress and heart rate increases when making go-around decisions. A pilot feels pressured and stressed by the obligation to get passengers to their destinations at the right time and to continue the flight as planned.
Prepared pilots are more likely to pass. In 2021, FAA data showed that 78% of all PPL pilots passed on their first attempt. In that same year, 79.5% of pilots passed their commercial pilot checkride, and the pass rate for CFI checkrides was 77.9%.
Pilots suffering from even mild levels of depression and anxiety do not perform as well as those who are not, and yet, are unlikely to seek assistance for their illness. Depression and anxiety are a challenge for individual suffers as well.