Hi all, I am hoping for any advice or input from you all on this... TLDR: Haven't been seen for 15 years for a diagnosis I had as a young child, now (seemingly) have to be seen for the rest of my life every six months if I want to maintain my medical certificate. When I was around 7 or 8 I was diagnosed with OCD. I was on medication and being seen for it until I was 17. At age 17 I consulted the Doctor I was seeing and told them I no longer felt that I had any symptoms. We weaned me off of the already low dosage I was on and then I was seen another time or two in the following months to make sure that I was staying symptom free. Fast forward to today and I'm 32 and have never been seen for it since that last appointment, have had no symptoms, have never had anything OCD related at all in the last 15 years since that last appointment. The last year I've spent back and forth with the FAA trying to get my 3rd class medical certificate. I provided (literally) 600+ pages of all of my medical history down to every last cut and scrape I have ever been seen for. They required me to be evaluated by a HIMS certified Psychiatrist (cost $1,500) and finally a year later I got a letter saying that I have been approved for Special Issuance and it says this: "This authorization expires August 31st, 2025. At least 60 days prior to the expiration of your medical certificate, you must submit the following: - You will need to submit a current evaluation regarding your OCD every 6 months and performed by HIMS trained pyschiatrist." If I understand this text correct then I must be seen every 6 months for something I have not been seen for or medicated for over the last 15 years, is this correct? It's less important since aviation isn't exactly a cheap hobby, but this will also mean having to spend anywhere from $1-3k per year just to keep my medical certificate active. That's a decent amount of hours in the air. I would be ok with this decision if it was only to be seen to once every two years or something like that, but every 6 months really makes me question whether or not to go forward getting my PPL or not. This would become a commitment I need to constantly worry about having scheduled, making sure my HIMS psychiatrist gets things to them on time, etc. Do I have any other options? Is there any way to appeal this decision, or am I misunderstanding this letter? The confusing part to me is "At least 60 days prior to the expiration you must submit the following...".