
Depression is one of the most common conditions pilots face — and the FAA has significantly improved its certification process. Whether you're in therapy only or on medication, there's a path.
The FAA distinguishes between two situations. Situational depression treated with talk therapy only may qualify for the CACI pathway — your AME can issue on the spot. Depression on medication goes through the HIMS pathway with approved antidepressants and a stabilization period.
The stabilization period has been reduced to 3 months, making the medication pathway significantly faster than it used to be.
The FAA has approved 9 specific antidepressants for use while flying. Your pathway depends on which medication you're taking, your dosage, and how long you've been stable. Many airline and commercial pilots fly professionally on approved medications.
Do NOT stop medication without medical guidance — the FAA wants to see you stable, not unmedicated.
Therapy only vs. medication, which medication, how long you've been stable, your history — these all determine your specific pathway and timeline. Our assessment maps out your exact certification path.
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