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What are the mental health requirements for pilots?

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.



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Due to the risks to flight safety posed by ADHD, regulatory authorities worldwide consider ADHD a disqualifying condition for pilots.

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In general, having a history of depression, anxiety, or any mental health condition does not necessarily disqualify someone from becoming a pilot. However, it will depend on the severity and duration of the condition, as well as the treatment that was received.

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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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An airline pilot can be an extremely stressful job due to the workload, responsibilities and safety of the thousands of passengers they transport around the world. Chronic levels of stress can negatively impact one's health, job performance and cognitive functioning.

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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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In the U.S., there are no FAA age limits for pilots except for commercial airline pilots employed by airlines certificated under 14 CFR Part 121. These airlines cannot employ pilots after they reach the age of 65. However, these pilots may stay on with a Part 121 carrier in some other role, such as flight engineer.

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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.

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Yes, airplane pilots can wear glasses. (And many do.) If you wear eyeglasses or contact lenses, you can still become a commercial, private, or military pilot. The Federal Aviation Administration (FAA) and the military have certain minimum standards for prospective pilots.

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In 2002 he was diagnosed with ADHD. He believes talking about ADHD openly is a way to help others. Forbes spoke with David Neeleman about founding several airlines, getting an ADHD diagnosis, and why he values happiness over money.

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