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United States Department of TransportationUnited States Department of Transportation

Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 47. Psychiatric Conditions - Psychiatric Conditions Table of Medical Dispositions

Disease/Condition Class Evaluation Data Disposition
Adjustment Disorders All Submit all pertinent medical information and clinical status report. If stable, resolved, no associated disturbance of thought, no recurrent episodes, and psychotropic medication(s) used for less than 6 months and discontinued for at least 3 months - Issue

Otherwise - Requires FAA Decision
See Use of Antidepressant Medication Policy
Attention Deficit Disorder All Submit all pertinent medical information and clinical status report to include documenting the period of use, name and dosage of any medication(s) and side-effects. If submitting neurocognitive test data, the applicant must have a drug screen for ADHD/ADD medications done within 24 hours of the neurocognitive testing and submit the results. See Disease Protocols, ADHD/ADD. Requires FAA Decision
Bipolar Disorder All Submit all pertinent medical information and clinical status report.
A bipolar disorder may not...
Requires FAA Decision
Bereavement or Dysthymic All Submit all pertinent medical information and clinical status report If stable, resolved, no associated disturbance of thought, no recurrent episodes, and;

a). psychotropic medication(s) used for less than 6 months and discontinued for at least 3 months - Issue

b). No use of psychotropic medication(s) - Issue

Otherwise - Requires FAA Decision
See Use of Antidepressant Medication Policy
Depression requiring the use of antidepressant medications All Submit all pertinent medical information and clinical status report.
See Use of Antidepressant Medication Policy and Disease Protocols, Specifications for Neuropsychological Evaluations for Treatment with SSRI Medications (PDF)
Requires FAA Decision
Personality Disorders All Submit all pertinent medical information and clinical status report.
The category of personality disorders...
Requires FAA Decision
Psychosis All Submit all pertinent medical information and clinical status report.
The category of psychosis...
Requires FAA Decision
Psychotropic medications for Smoking Cessation All Document period of use, name and dosage of
medication(s) and side-effects
If medication(s) discontinued for at least 30 days and w/o side-effects - Issue

Otherwise - Requires FAA Decision
Substance Abuse All See Substances of Dependence/Abuse Requires FAA Decision
Substance Dependence All See Substances of Dependence/Abuse Requires FAA Decision
Suicide Attempt All Submit all pertinent medical information required. Requires FAA Decision

Substance dependence and substance abuse are specified as disqualifying medical conditions.

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