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Why Pilots Don’t Want To Talk About Mental Health—and Why They Should

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]
Gemini Sparkle

Key Takeaways:

  • Pilots often avoid seeking mental health support for common issues like anxiety and depression due to significant fear of losing their FAA medical certificate and career.
  • While FAA regulations for mental health conditions and medications are strict, the aviation industry is evolving with airlines and universities implementing confidential employee assistance programs and peer support networks.
  • Experts and advocacy groups emphasize the critical need to destigmatize mental health in aviation, encouraging pilots to prioritize their well-being and assuring them that seeking help rarely leads to permanent career loss.
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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.”

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