FAA Amends Mental Health Evaluation Criteria For Pilots

Gemini Sparkle

Key Takeaways:

  • The FAA has updated its guidance, allowing pilots with a history of up to two "uncomplicated" mental health diagnoses (anxiety, depression) to bypass automatic FAA review for medical certificates.
  • To qualify for this streamlined process, pilots must have been off medication for two years, pass a specific questionnaire screening for serious mental health issues, and the Aviation Medical Examiner (AME) must have no concerns.
  • If the questionnaire reveals serious issues like suicidal thoughts or hospitalization, or if the AME has any concerns, the AME must defer the medical certificate application for FAA review.
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A history of no more than two mental health diagnoses no longer requires automatic review by the FAA for any class of pilot certificate as long as certain criteria are met. The agency has revised its guidance to AMEs on “uncomplicated anxiety, depression and related conditions” and chief among the changes is that the FAA can be left out of the process if the pilot has been off medication for two years, there are no issues raised by a questionnaire and the AME has no concerns.

The questionnaire deals with serious mental health issues like suicidal thoughts, self-harm and whether or not the pilot has been hospitalized or been under court-ordered evaluation, and it reminds the AME to be thorough and conservative in his or her judgment. “If ALL items fall into the ‘NO’/CLEAR COLUMN, the AME may issue with notes in Block 60 which show the AME discussed the history of Uncomplicated Anxiety, Depression, and Related Conditions, found no positives to the screening questions, AND had no concerns,” the new guidance reads. “If ANY SINGLE ITEM falls into the ‘YES’/SHADED COLUMN, the AME MUST DEFER” (emphasis the FAA’s).

Russ Niles

Russ Niles is Editor-in-Chief of AVweb. He has been a pilot for 30 years and joined AVweb 22 years ago. He and his wife Marni live in southern British Columbia where they also operate a small winery.
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