PTSD Doesn't Have to Ground You.
Post-traumatic stress disorder is certifiable through the FAA Special Issuance process. Whether combat-related or from other trauma, pilots with well-managed PTSD can hold active medical certificates.
The FAA Pathway
PTSD goes through a Special Issuance process that typically takes 6 to 12 months. The FAA wants to see a comprehensive psychiatric evaluation, complete treatment history, and demonstrated stability — ideally 12 or more months of stable functioning.
Severity and stability are the key factors. The FAA evaluates each case individually based on your treatment history and current functional capacity.
What You'll Need
Documentation is critical. You'll need complete psychiatric records, your full treatment history, and a provider letter confirming stability. In some cases, the FAA may require a neuropsychological evaluation.
If you're on medication, only FAA-approved antidepressants are compatible with certification. Benzodiazepines and antipsychotics are disqualifying.
Military Pilots Transitioning to Civilian Aviation
Many military pilots with combat-related PTSD have successfully obtained FAA medical certificates. The FAA evaluates these cases carefully, but a well-documented history of treatment and stability makes certification achievable.
Getting the documentation right the first time is essential — incomplete applications are the most common cause of delays.
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