Originally Posted by
Jerald Block MD
N06ABs -- i.e., medication. However, what got me into this was the potential use of TMS. The FAA has not yet really addressed TMS for depression/anxiety except as part of the AME "Fast Track" process. There, TMS (and ketamine/mushrooms) will result in a Deferral. In my opinion, TMS has huge potential with the possibility of treating a depression in as little as one week (accelerated TMS), no use of meds, excellent remission rates, good long-term stability, and mild side effects. The military strongly supports TMS for those reasons -- they don't want Soldiers on sedating meds or the logistics of SSRI delivery into combat zones, etc.
Jerald
Interesting, never heard of it. My spouse struggles with both anxiety & OCD. Takes very little to set her off. Sometimes, no reason at all.
I’m year 3 sertraline, 50mg. Don’t know how it works or anything about clinical efficacy, pharmacology. Best I can relate, it’s like having gotten used to always waking up in welding goggles. Normal but miserable. On ssri, tint lightens so what you see, over time, appears brighter, more in focus. The upside, doesn’t change your personality profile or create substance like rollercoasters. Drawback, as you mentioned, they do affect alertness, sleep rhythm. When your main AC busses are powered, peachy. Default to batt, energy is limited.
Anxiety and depression aren’t synonymous imho. Each experience unique as much common. You're the subject matter expert. On another note, Hims is predominantly perceived more punishment than cure. Need not be compulsory for Class1 approvals. Just my 2 pennies. Thanks for your input & time Doc.