Can I Qualify for Class 1 Medical Certification After Depression? - Psychiatry

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Dear Doctor, I have a history of depression, but I have been off medication for over a year.
Can I be classified as having a Class I medical certificate? Thank you, Corey, who wants to fly.

corey, 10~19 year old female. Ask Date: 2004/11/11

Dr. Lin Yanhong reply Psychiatry


Hello: If depression has improved, military service is still required.
Whether to classify as a first-class physical condition must be determined by the military hospital or the conscription office.

Reply Date: 2004/11/11

More Info


Dear Corey,
Thank you for your question regarding your eligibility for Class 1 Medical Certification after having experienced depression. It’s great to hear that you have been symptom-free for over a year. This is an important factor when considering your fitness for flying.

The Federal Aviation Administration (FAA) has specific guidelines regarding mental health conditions, including depression. According to the FAA, a history of depression does not automatically disqualify you from obtaining a Class 1 Medical Certificate, but there are several criteria that must be met.

1. Duration of Stability: The FAA typically requires that you have been stable and symptom-free for at least 12 months after discontinuing any medication for depression. Since you mentioned that you have been off medication for over a year, this is a positive sign.

2. Evaluation by a Qualified Professional: You will need to undergo an evaluation by an Aviation Medical Examiner (AME). The AME will assess your mental health history, including your past diagnosis of depression and your current mental state. They will look for any signs of ongoing issues, such as anxiety, mood swings, or other psychological symptoms.

3. Documentation: It is advisable to bring any relevant medical documentation to your AME appointment. This may include records from your psychiatrist or psychologist, detailing your treatment history, the duration of your symptoms, and confirmation of your current mental health status. If you have been seeing a therapist or psychiatrist, a letter from them stating that you are stable and fit to fly can be very helpful.

4. Medication History: If you were treated with medication for depression, the AME will want to know how long you were on the medication and the reasons for discontinuation. If you have been off medication for a significant period and have not experienced a relapse, this will work in your favor.

5. Additional Assessments: Depending on your specific case, the AME may require additional assessments or evaluations to ensure that you are fit for flying. This could include psychological testing or further consultations with mental health professionals.

6. Follow-Up: If your initial application for a Class 1 Medical Certificate is denied, you may have the option to appeal the decision or provide additional documentation to support your case. It’s important to stay proactive and maintain open communication with your AME.

In conclusion, while a history of depression can complicate the process of obtaining a Class 1 Medical Certification, it is not an automatic disqualification if you have been stable and symptom-free for over a year. I encourage you to schedule an appointment with an AME who can provide a thorough evaluation and guide you through the certification process.
Wishing you the best of luck in your pursuit of flying!
Sincerely,
Doctor Q&A Teams

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