Past depression history...chances?
Hey pilots,
So I was diagnosed with Major Moderate Depression in 2019 (I guess there's a major severe subtype), and it took awhile to get the right medication, which I found out is typical for depression... you have to find the Rx that works for you and the right dosage that works. My doctor started me on Wellbutrin, which is not on the FAAs approved list, but it didn't work for me anyway and I only took it for about 10 days before the doc switched me to Prozac (fluoxetine). That started to work but after 6 months it kind of pooped out, which again is common, and my doc switched me to Zoloft (sertraline). That did the trick and after a few months my mood adjusted fine. (Also, both Prozac and Zoloft are approved by FAA). I grounded myself and remained unemployed for about 3-1/2 years, but I was lucky and had financial resources. No suicide attempt, no DUI, no drugs either... I also started working out and had many sessions with a great clinical psychologist, who thinks I may be ready to ditch the anti-depressants after another month or so of observation. So I'm wondering what happens if I apply for a FCM and NOT taking meds anymore. Do I still need to see a HIMS ame? I still have to disclose all my past doctor visits and meds taken previously, but does that still warrant an SI? Also will 3-1/2 years of unemployment and depression kill my chances at a regional, if I and my doc can prove to them I've made a full recovery? I have about 1470 TT, 100 MEL, 50 turbine, and come from 135 background. Plus 4 year degree. Thanks to anyone who might be able to help. r |
Originally Posted by sealandair
(Post 3494314)
So I'm wondering what happens if I apply for a FCM and NOT taking meds anymore. Do I still need to see a HIMS ame?
If there was a diagnosed alcohol addiction somewhere in there, then I can't really answer how that would complicate things but it will be complicated.
Originally Posted by sealandair
(Post 3494314)
I still have to disclose all my past doctor visits and meds taken previously, but does that still warrant an SI?
I'm pretty sure it does not require an SI for *past* depression and med use, as long as you have a current clean bill of health, are expected to remain stable, and have met the waiting period off meds.
Originally Posted by sealandair
(Post 3494314)
Also will 3-1/2 years of unemployment and depression kill my chances at a regional, if I and my doc can prove to them I've made a full recovery? I have about 1470 TT, 100 MEL, 50 turbine, and come from 135 background. Plus 4 year degree.
They may ask about the unemployment period, but you could simply say that you had some health issues which you wanted to focus on, and you were fortunate enough to be in the financial position to take time off. Then zip it, they can't ask for details about that. Also they literally cannot afford to turn anyone away who is qualified right now. And definitely stick with exercise... both cardio and strength/functional are important but cardio is the biggy for mental well being. Shoot for 45-60 minutes most days of the week. Also healthy diet and little to no booze. |
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Originally Posted by Excargodog
(Post 3494694)
You’ll need an SI.
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Originally Posted by rickair7777
(Post 3494685)
And definitely stick with exercise... both cardio and strength/functional are important but cardio is the biggy for mental well being. Shoot for 45-60 minutes most days of the week. Also healthy diet and little to no booze. |
Originally Posted by METO Guido
(Post 3494710)
Which is a primary reason people:
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An AME will not be able to issue the medical; it will need to go to Oklahoma City, and requires a thorough evaluation by a health professional. While certain medications may be acceptable to the Administrator, the concern is ALWAYS the underlying condition for which the medication is prescribed. The medication itself represents a separate concern.
With most medications of concern, a period of 12 months away from the medication is required. In the case of certain medications allowed, as indicated by the original poster, a period of 12 months use, showing no adverse effects, is required. If the medication is ended, expect a similar time frame off the medication to establish a track record of effects and behavior without the meds. This is an issue that you'll certainly want to navigate with assistance, from a qualified service with experience. It may be a lengthy process. Flight experience, certification, and education/degree will have no bearing on the process, or outcome. |
Originally Posted by Excargodog
(Post 3494694)
You’ll need an SI. |
Originally Posted by JohnBurke
(Post 3494738)
An AME will not be able to issue the medical; it will need to go to Oklahoma City, and requires a thorough evaluation by a health professional. While certain medications may be acceptable to the Administrator, the concern is ALWAYS the underlying condition for which the medication is prescribed. The medication itself represents a separate concern.
With most medications of concern, a period of 12 months away from the medication is required. In the case of certain medications allowed, as indicated by the original poster, a period of 12 months use, showing no adverse effects, is required. If the medication is ended, expect a similar time frame off the medication to establish a track record of effects and behavior without the meds. This is an issue that you'll certainly want to navigate with assistance, from a qualified service with experience. It may be a lengthy process. Flight experience, certification, and education/degree will have no bearing on the process, or outcome. |
Originally Posted by Excargodog
(Post 3494724)
None of which changes the reality that it will be required.
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