Can people with mental illness be pilots?

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. In fact, only about 0.1% of medical certificate applicants who disclose health issues are denied.



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The team conducted a survey of more than 1,000 pilots worldwide in 2019 and found that 18% had moderate depression and 80% moderate burnout.

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if you suffer from or have had:
  • angina or chest pain at rest.
  • an infectious disease (e.g. chickenpox, flu), including COVID-19.
  • decompression sickness after diving (sometimes called 'the bends')
  • increased pressure in the brain (due to bleeding, injury or infection)
  • infection of your ears or sinuses.
  • recent heart attack.


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Seeking a prescription to sedative medication and having them available in-flight can help you relax, even if you don't end up taking it. You should not try to cope alone with a panic disorder and related fear of flying. Even a couple sessions with a therapist can give you tools to make flying more comfortable.

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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).

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Aviation Medical Examiners are trained to determine the pilot's mental health and fitness to fly. Before this medical exam, pilots are required to report any health professional visits during the previous three years, all medications being taken, and other medical history on their medical application form.

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While Xanax may be useful for flying on an airplane, it will not help you with your anxiety. It may help in the moment but you will not tackle your fear of flying if you are asleep the whole flight. If you ran out of your medication or left it at home, the anxiety will still exist if you go on an airplane again.

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For example, deep breathing or meditation during take-off, landing or turbulence can reduce your symptoms of anxiety. You can also learn to “talk back” to negative thoughts about flying when they arise.

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The air pressure while flying increases the risk of blood clots forming, which is not ideal. Heart complications: If you've suffered a heart attack, stroke, cardiac failure or chest pain while at rest, flying should wait. The lower oxygen levels, increased air pressure, high altitude and more could affect your health.

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Many other conditions could prevent an individual from flying. If you have a pre-existing condition like lung or heart disease, cancer or anemia, you'll want to consult your doctor for clearance it's okay to fly.

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There isn't any legally imposed limit as far as we're aware, but a high blood pressure must be controlled with medication before you travel for your safety. For example, blood pressure is considered high if over 140/90mmHg, so if your blood pressure is consistently above this value then it is important to reduce it.

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ASD is not specifically disqualifying, and is discussed in a Federal Air Surgeon's Medical Bulletin here. While it isn't specifically disqualifying, you can expect it to take a large amount of time and money to convince the FAA that you are fit to fly.

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One of the most common risks associated with being a pilot is the physical and mental strain. Pilots must remain alert and focused for long periods of time, often in difficult circumstances. This can lead to fatigue and stress, both of which can have a negative impact on their performance and safety.

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Within FAA , access to an individual's medical information is strictly on a need to know basis. The safeguards of the Privacy Act ( PDF ) apply to the application for airman medical certification and to other medical files in FAA 's possession.

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