Mental Health

derg

Apparently a "terse" writer
Staff member
Warning: This is “stream of consciousness” so apologies for grammar, spelling or meandering content.

I know we get some soft words from the FAA, maybe something else from the company about taking care of yourself and understanding where you are psychologically, but yes, lets talk about mental health.

Yes, there is a stigma on the topic, but it’s largely a stigma that needs to go away.

People don’t always feel good, that makes us human. But when people consistently feel poorly, it might be something they want to talk about what friends or family who care (not just the fair weather friends or an aunt more concerned about self-image or an uncle that seems to think a hunting trip will cure all that ails) but people you have profound conversations with and that there’s an element of mutual trust.

When you’re healthy, those emotional ‘downs’ are temporary because your brain’s “shock absorbers” are working well, conversely, when you’re in a psychological struggle, those “shock absorbers” (Well, serotonin among other things, to be fair, to counterbalance cortisol spikes, this is WAY simplified) don’t work as well and the lows become lower and persist for a longer period of time which can start a spiral of sorts.

I didn’t know the pilot that well, I’ve seen him once at the airport and a lot online and you could tell he had a lot of stuff going on because he seemed everything from anxious to angry to, well, prone to be negative where it wasn’t warranted.

He killed himself on Thanksgiving.

I know it sounds harsh, but at the end of the day, that’s the decision that he made. I’m not a believer in flowery words to lessen the impact of what happened, he didn’t die doing what he loved, he didn’t turn on “Requiem for a Dream” by the fireplace under soft lighting, repeat a Shakespearean soliloquy and take a single poison pill. He killed himself and there’s nothing soft, romantic or theatrical about it.

Was he seeking help? Again, we weren’t friends so I really don’t know.

What caused it? Again, I have no idea.

Did he have other problems? I haven’t a clue.

He could be sitting right next to me on a train and I wouldn’t have known it was him, apart from his name tag or pilot ID.

But this isn’t the first time a friend, colleague or fellow professional aviator has willfully killed themselves. But what I DO know is that people that I knew well and befriended who made that choice never reached out and left their social circles and family in complete shock. Maybe the idea of that level of emotional intimacy seemed “gross” to them or they didn’t know they had a problem until a deeply terrible choice was made but maybe someone reading this might seek help or reach out.

If you’re logged in reading this, you’re a member of Jetcareers. You at least, bare minimum have my ear if you aren’t feeling well, you’re always welcome to email me, shoot me a PM or we can even talk on the telephone. I may be helpful, I may not, but if you need to ‘talk it out’, let’s talk it out. I’m sure there are other people on JC as well that could lend you an ear. I tend to want to solve everything and unravel life’s tangled mess, so you need to tell me “I just need an ear, not a fix” and I can turn off my “Mr Fix It” and just listen.

Yes, it’s that time of the year when people make dumb decisions. Talk it out. Seek help if you need it. If you’ve got no one, you at least have people here if you reach out.

Suicide is a permanent solution to what very well may be a very temporary problem.
 
Warning: This is “stream of consciousness” so apologies for grammar, spelling or meandering content.

I know we get some soft words from the FAA, maybe something else from the company about taking care of yourself and understanding where you are psychologically, but yes, lets talk about mental health.

Yes, there is a stigma on the topic, but it’s largely a stigma that needs to go away.

People don’t always feel good, that makes us human. But when people consistently feel poorly, it might be something they want to talk about what friends or family who care (not just the fair weather friends or an aunt more concerned about self-image or an uncle that seems to think a hunting trip will cure all that ails) but people you have profound conversations with and that there’s an element of mutual trust.

When you’re healthy, those emotional ‘downs’ are temporary because your brain’s “shock absorbers” are working well, conversely, when you’re in a psychological struggle, those “shock absorbers” (Well, serotonin among other things, to be fair, to counterbalance cortisol spikes, this is WAY simplified) don’t work as well and the lows become lower and persist for a longer period of time which can start a spiral of sorts.

I didn’t know the pilot that well, I’ve seen him once at the airport and a lot online and you could tell he had a lot of stuff going on because he seemed everything from anxious to angry to, well, prone to be negative where it wasn’t warranted.

He killed himself on Thanksgiving.

I know it sounds harsh, but at the end of the day, that’s the decision that he made. I’m not a believer in flowery words to lessen the impact of what happened, he didn’t die doing what he loved, he didn’t turn on “Requiem for a Dream” by the fireplace under soft lighting, repeat a Shakespearean soliloquy and take a single poison pill. He killed himself and there’s nothing soft, romantic or theatrical about it.

Was he seeking help? Again, we weren’t friends so I really don’t know.

What caused it? Again, I have no idea.

Did he have other problems? I haven’t a clue.

He could be sitting right next to me on a train and I wouldn’t have known it was him, apart from his name tag or pilot ID.

But this isn’t the first time a friend, colleague or fellow professional aviator has willfully killed themselves. But what I DO know is that people that I knew well and befriended who made that choice never reached out and left their social circles and family in complete shock. Maybe the idea of that level of emotional intimacy seemed “gross” to them or they didn’t know they had a problem until a deeply terrible choice was made but maybe someone reading this might seek help or reach out.

If you’re logged in reading this, you’re a member of Jetcareers. You at least, bare minimum have my ear if you aren’t feeling well, you’re always welcome to email me, shoot me a PM or we can even talk on the telephone. I may be helpful, I may not, but if you need to ‘talk it out’, let’s talk it out. I’m sure there are other people on JC as well that could lend you an ear. I tend to want to solve everything and unravel life’s tangled mess, so you need to tell me “I just need an ear, not a fix” and I can turn off my “Mr Fix It” and just listen.

Yes, it’s that time of the year when people make dumb decisions. Talk it out. Seek help if you need it. If you’ve got no one, you at least have people here if you reach out.

Suicide is a permanent solution to what very well may be a very temporary problem.
I'm sorry you're figuring this out after the fact. Imagine the guilt a person whose brother unexpectedly ended their life might carry. I've worked through most of the stages of grief but I'll never stop thinking about him and wonder "What if...".
 
The FAA needs to change and they need to change NOW. Pilots are dying because of their draconian attitude to mental health and “safety.” Enough is enough.

 
The FAA needs to change and they need to change NOW. Pilots are dying because of their draconian attitude to mental health and “safety.” Enough is enough.


I have to fly BasicMed because of a drug I took for a few years to help manage anxiety (not depression). If I went in for a Class 1-3, and answered honestly, my flying days would be done. Just dumb.

I'm no Trump fan, but there are cases where I'm interested in how they might shake up the bureaucracy, and this is one of them. Likely they'll just focus on destroying the things that keep our air and water safe, though.
 
It's worth noting that right after the incident with the fire handles guy, there were some revisions to the guidance for an AME, specifically about what was required to be reported and what an AME could go ahead and issue on the basis of. There's significant wiggle room that wasn't there before, and I wish more pilots knew about this guidance - it was updated just 6 months ago. It has allowed a lot more pilots to seek counseling and therapy than ever before.

 
It's worth noting that right after the incident with the fire handles guy, there were some revisions to the guidance for an AME, specifically about what was required to be reported and what an AME could go ahead and issue on the basis of. There's significant wiggle room that wasn't there before, and I wish more pilots knew about this guidance - it was updated just 6 months ago. It has allowed a lot more pilots to seek counseling and therapy than ever before.


Am I reading this correctly? Is seasonal depression a disqualifying issue?
 
Am I reading this correctly? Is seasonal depression a disqualifying issue?

It would seem that the AME guidance with Seasonal Affective Disorder is deferral, but with a clinical progress note? I dunno.

You'd need to talk to a doc, but I'm guessing it's the repeating nature of it? Again - I don't know.

This guidance certainly isn't the most ideal setup, but it's better than what has been out there in the past.
 
It would seem that the AME guidance with Seasonal Affective Disorder is deferral, but with a clinical progress note? I dunno.

You'd need to talk to a doc, but I'm guessing it's the repeating nature of it? Again - I don't know.

This guidance certainly isn't the most ideal setup, but it's better than what has been out there in the past.

I read it as: Seasonal depression? Defer the medical.

Which is really insane. Maybe it's just because I live in the PNW but this seems to be an issue that affects nearly everyone when it gets dark at 4:10PM and no one has seen the sun in a few months. I'm happy I have outlets to avoid it but being aware that it is an issue is really important and it takes a really strong routine with a lot of exercise to keep from being affected by the seasonal change.
 
It would seem that the AME guidance with Seasonal Affective Disorder is deferral, but with a clinical progress note? I dunno.

You'd need to talk to a doc, but I'm guessing it's the repeating nature of it? Again - I don't know.

This guidance certainly isn't the most ideal setup, but it's better than what has been out there in the past.
I think the “I don’t know” part is a big reason why pilots are in this situation. Sure, in theory there’s avenues to seek mental healthcare, but the resounding answer on if you can fly after always seems to be a resounding “maybe, I dunno.” It’s one thing for Joe Weekend Warrior who wants to fly his Cessna round for fun, it’s quite another when someone is potentially unable to put food on their family’s table if they seek help. Most people probably figure “why even roll those dice?”
 
I have to fly BasicMed because of a drug I took for a few years to help manage anxiety (not depression). If I went in for a Class 1-3, and answered honestly, my flying days would be done. Just dumb.

I'm no Trump fan, but there are cases where I'm interested in how they might shake up the bureaucracy, and this is one of them. Likely they'll just focus on destroying the things that keep our air and water safe, though.
They’ll make it legal to seek help right about the same time their ACA repeal makes it unaffordable
 
They’ll make it legal to seek help right about the same time their ACA repeal makes it unaffordable
something something getting what we deserve.

Anyway, yeah. Also the only behavioral health tool the FAA has is HIMS, which means all problems are substance abuse problems. Never mind what caused one to turn to the bottle.
 
something something getting what we deserve.

Anyway, yeah. Also the only behavioral health tool the FAA has is HIMS, which means all problems are substance abuse problems. Never mind what caused one to turn to the bottle.

Few people say “I think Heroin looks kind of fun!”

LOTS say “I can enjoy a few minutes without (psychological/physical) pain and feel normal like everyone else for a moment”
 
something something getting what we deserve.

Anyway, yeah. Also the only behavioral health tool the FAA has is HIMS, which means all problems are substance abuse problems. Never mind what caused one to turn to the bottle.
Get out of here with this newer-than-1960s coastal elitist crap.
 
Get out of here with this newer-than-1960s coastal elitist crap.
giphy.webp
 
Another issue is therapists themselves, most of them refuse to help anyone who they feel is a liability and a lot of them are very bad at their jobs and don't know how to deal with complex situations or nuerodivergent folks who operate abnormally. It's not like it's something that works for everyone, its only one method. Some people legitimately need meds, but the FAA says even if those meds only make you a safer pilot, they're still meds so gtfo. Telling a therapist "I want help, not a prescription" often just ends up with their lazy assess saying "well have you tried a prescription?" rather than attempting to deal with messy stuff that could get back to them if you went postal or beebo ect.

Out of everyone I know in the world, most of the messed up folks are career airline pilots honestly. A lifetime of having to lie to fly and self medicating within the lines.
 
Telling a therapist "I want help, not a prescription" often just ends up with their lazy assess saying "well have you tried a prescription?" rather than attempting to deal with messy stuff that could get back to them if you went postal or beebo ect.

Is this anecdotal information?

Because, as you have described it, strikes me as completely irresponsible and irrational on the part of the therapist. That is not how the process is supposed to work. At all.
 
Another issue is therapists themselves, most of them refuse to help anyone who they feel is a liability and a lot of them are very bad at their jobs and don't know how to deal with complex situations or nuerodivergent folks who operate abnormally. It's not like it's something that works for everyone, its only one method. Some people legitimately need meds, but the FAA says even if those meds only make you a safer pilot, they're still meds so gtfo. Telling a therapist "I want help, not a prescription" often just ends up with their lazy assess saying "well have you tried a prescription?" rather than attempting to deal with messy stuff that could get back to them if you went postal or beebo ect.

Out of everyone I know in the world, most of the messed up folks are career airline pilots honestly. A lifetime of having to lie to fly and self medicating within the lines.

I don't buy this as much as thanks to the amount of lawyers we have in the United States, everyone is managing liability, constantly, its honestly exhausting. I hit like 30 years old and realized that's all any actual adult is doing.
 
Is this anecdotal information?

Because, as you have described it, strikes me as completely irresponsible and irrational on the part of the therapist. That is not how the process is supposed to work. At all.

That's how things worked with pain medication for about 10 years. So not surprised at all.
 
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