Pilots


 

Pilots

Treatment

It should come as no surprise that pilots work in extremely safety sensitive positions. Accordingly, both commercial and private pilots need a psychiatrist that is specially trained to work with the airlines, unions and FAA.

Dr. Goldenberg is a HIMS trained Psychiatrist who provides evaluations to the FAA. Dr. Goldenberg provides evaluations for pilots and flight attendants from every airline.

Some of the important services Dr. Goldenberg provides specific to pilots include:

  • Individualized and non-shaming evaluations based on 14 CFR Part 67: Medical Standard and Certification
    • Comprehensive Psychiatric Evaluations
    • HIMS Substance Use Disorder Evaluations
    • SSRI Evaluations
    • ADHD/Stimulant Medication Evaluations
  • Referrals to HIMS Neuropsychological Evaluations
  • Coordination with other evaluators and stakeholders
    • ​AMEs, HIMS Neuropsychologists, HIMS psychologists and other aviation experts
  • Adherence to the FAA criteria for Substance Abuse and Dependence (distinct from DSM-IV and DSM 5):
    • The FAA defines Substance Abuse (in the past two years) as [§ 67.107 (.207, .307) Mental]​​​:
      • (1) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;
      • (2) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation;
      • (3) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds: (i) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or (ii) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges. ​
  • The FAA defines Substance Dependence as [§ 67.107 (.207, .307) Mental]​​​:
    • Except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years.
    • As used in this section:
      • (i) “Substance” includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids; CNS stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexamines; cannabis; inhalants; and other psychoactive drugs and chemicals;
      • (ii) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by any of the following:
        • (A) Increased tolerance; OR
        • (B) Manifestation of withdrawal symptoms; OR
        • (C) Impaired control of use; OR
        • (D) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
  • Experience filling out forms such as 8500-8
  • Guidance with completion of DUI disclosures.
  • Individualized and case by case dispositions
  • Referrals to experienced aviation attorneys
  • Completion of disability paperwork
  • Support for the pilot's family
  • Support group recommendations (NA/AA, Birds of a Feather etc.) ​
  • How To Prepare for your first visit:
    • Be Rested
    • Proper nutrition
    • Get Exercise
    • Continued engagement in treatment and supports
    • Websites to practice cognitive tasks (Lumosity, Elevate, Happy Neuron etc.)

If you would like more information about becoming a patient of Dr. Goldenberg, please contact us.

Book a free confidential, anonymous and no-obligation 10 minute phone consultation with Dr. Goldenberg at a time that is most convenient for you.