Is anxiety a disqualifier for FAA medical?

Myth: I will lose my FAA medical if I seek help for any mental health situation. Truth: The FAA will be concerned if you are clinically diagnosed with a psychiatric condition (depressive disorders, psychosis, personality disorders, anxiety disorder or bipolar disorder) or a substance abuse disorder.



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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.

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Can Pilots Take Antidepressants?
  • The SSRI pathway only allows consideration for pilots who take one of four SSRIS: fluoxetine (Prozac), citalopram (Celexa), escitalopram (Lexapro), or sertraline (Zoloft). ...
  • Other antidepressants do not have a Special Issuance pathway.


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If you have a fear of flying, traveling by plane can be very upsetting. If you fly regularly, you may find talk therapy and antidepressant medications useful. Flight anxiety medications, like benzodiazepines, might also help with immediate symptoms.

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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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But the mental health assessment is limited to the observations of the AME and the pilot's self-report on their medical questionnaire. If the FAA is not aware of concerns about a U.S. pilot's safety to fly, then they cannot mandate access to information.

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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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Fear of flying, or aviophobia, is an anxiety disorder. About 40 percent of the general population reports some fear of flying, and 2.5 percent have what is classified as a clinical phobia, one in which a person avoids flying or does so with significant distress.

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Pharmacological treatment These drugs are usually taken shortly before a flight. They include: Anti-anxiety medication, such as diazepam (Valium) or alprazolam (Xanax). Motion sickness medication, such as dimenhydrinate (Dramamine).

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1) Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.

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Aerophobia is an extreme fear of flying. People with aerophobia might feel intense anxiety before or during a flight. This condition can interfere with your ability to travel for work or pleasure. If aerophobia is affecting your quality of life, talk to your healthcare provider.

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