1st Class Medical with Prior Mental Health Incident

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Kevinp136

Filing Flight Plan
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Feb 18, 2025
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Kevin P.
Hey everyone, I’m considering applying for my FAA Class 1 Medical and wanted to see if anyone has experience with a similar situation.

When I was 18 (five years ago), I experienced a marijuana-induced psychosis, voluntarily sought treatment, fully recovered, and have had no issues since. I’ve never used any substances again, have had no recurring symptoms, no need for ongoing treatment, no medications, and no family history of mental illness.

I know the FAA is strict when it comes to any history of psychosis, even if drug-induced, so I’m wondering:

  • Has anyone dealt with a similar case and been approved?
  • What kind of documentation would I need if I decide to apply?
  • Is approval even realistic in my case?
 
I seem to recall a thread or two here on the topic. The path is steep.

ETA: what’s in the record is important and really shouldn’t be discussed here. Finding a HIMS AME who’s worked these types of cases is important. You need someone who knows what’s needed and who’s also willing to tell you there’s not enough info in your records to have a realistic chance.
 
TCABM said:
I seem to recall a thread or two here on the topic. The path is steep.

ETA: what’s in the record is important and really shouldn’t be discussed here. Finding a HIMS AME who’s worked these types of cases is important. You need someone who knows what’s needed and who’s also willing to tell you there’s not enough info in your records to have a realistic chance.
Click to expand...
Thought I remembered this story. I think this is the one I was thinking of

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Thread '10 yrs later - drug induced psychosis'

Looking for some direction before I fill out the med express app or talk to an Ame
I had undiagnosed drug induced psychosis, and a civil commitment for 90 days in 2012
I did treatment and that was basically it..
I was only on meds during that period and the last hospitalization was in the same period

I don’t have any documentation after this as ive never been hospitalized , few doctors visits none involving mental health and no criminal cases

I’ve held a commercial drivers license and a dot medical card for almost 10 years

Im only interested in a class 1 medical
I really don’t have...
 
Racerx said:
Thought I remembered this story. I think this is the one I was thinking of

T

Thread '10 yrs later - drug induced psychosis'

Looking for some direction before I fill out the med express app or talk to an Ame
I had undiagnosed drug induced psychosis, and a civil commitment for 90 days in 2012
I did treatment and that was basically it..
I was only on meds during that period and the last hospitalization was in the same period

I don’t have any documentation after this as ive never been hospitalized , few doctors visits none involving mental health and no criminal cases

I’ve held a commercial drivers license and a dot medical card for almost 10 years

Im only interested in a class 1 medical
I really don’t have...
Click to expand...

Yeah, lots of good info there in just a handful of posts.
 
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