Why Pilots Don't Want To Talk About Mental Health

Pilots get anxiety and depression just like many of the rest of us do, but they seem less likely to seek support and treatment. Why? How can we change it?

[Illustration by Amy Jo Sledge]

Key Takeaways:

Pilots frequently hide mental health struggles, such as anxiety and depression, due to strict FAA regulations and the fear of losing their medical certificates and careers, leading to high rates of healthcare avoidance.
While the aviation industry is evolving by establishing peer support programs and confidential resources through airlines and universities, restrictive FAA policies on treatable conditions and approved medications continue to pose significant barriers.
Experts are advocating for destigmatizing mental health in aviation, encouraging pilots to seek necessary care and utilize confidential support, emphasizing that adverse career repercussions are rare and prioritizing personal well-being is crucial.

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An airline captain flies long-haul on heavy equipment for an international carrier. He’s at the top of his game—both professionally and personally, with a young family and a successful side business that keeps him busy and fulfilled even on his days off.

“Pilots believe that being vulnerable, and sharing feelings or struggles, such as anxiety, depression, and chronic stress, would be at best humiliating or embarrassing, and, at worst, the end of their flying career.”