Anx/dep - what do they want?

[anonymous]

I have an unremarkable medical history except for being transgender with associated depression/anxiety symptoms (without SI/HI), treated with single-agent therapy, which have been markedly relieved by transition (s/p bottom surgery <5 yrs) and I am currently stable off antidepressants.

I have never been treated by a psychiatrist. I submitted a letter from the SSRI prescriber (a GP) clearing me after 60 days off meds--including a negative screen for depression--and the gender dysphoria report (a psychologist I only saw because the report required it; I am not currently diagnosable with gender dysphoria), and a letter from my surgeon. The FAA want "more detailed psychiatric notes" which do not exist because their assumptions do not reflect actual practice.

How am I meant to respond to this? Before my AME appointment I reached out to most of the "difficult case" guys and they either never responded or lost interest when they found out I was transgender.

 

[pilot445]

Perhaps call the regional flight surgeon or Oklahoma City and explain to them that the records they are seeking don’t exist.

 

[AggieMike88]

Pinging Doctor Lou and Doctor Bruce for their input. @lbfjrmd @bbchien

Did you ask Dr. Bruce Chien your questions? You can use this link to start the conversation: http://www.aeromedicaldoc.com/how-to-start.html

 

[bbchien]

HIMS psychiatrist assessment
They are not going to accept this (dual diagnosis gender dysphoria + anxiety/depression without a psychiatrist. PCP might have done a terrific job, but no psychiatrist = no action....