This is an issue I have looked around for, but I understand each case is different, so here's my story/question to "random pilot strangers" on the internet... Overall I want to know generally what to expect (maybe we don't know because the FAA is an unpredictable agency) I came home from Afghanistan and got out of the military. I went through the VA claims process. I did not seek, nor did I request, any claim relating to mental health. I can only assume that the VA thought they were doing me a favor by sending me to a Psych as part of their C&P exam process. When I left that C&P exam, I had a diagnosis: "Adjustment Disorder with mixed anxiety and depressed mood". This was in January. No medications, no recommendations to see anyone again, just a blanket "you came from war overseas, so you have this diagnosis" I have not been in contact with any mental health professional prior to, or since, that C&P exam. My rating letter states the diagnosis. I am not rated (not even 0%) for the Adjustment disorder. The VA letter states that it is "service connected for treatment purposes only" Again for clarity: No medications were ever discussed, prescribed, or taken. I saw a PsyD once. No disability rating. Service connected for treatment purposes only. I am stable, this "issue" is long "resolved". In May I disclosed this information to my AME, who issued a First Class medical based on the guidance from the FAA: "If stable, resolved, no associated disturbance of thought, no recurrent episodes, and psychotropic medication(s) used for less than 6 months and discontinued for at least 3 months - Issue" Got a letter from the FAA on day 57 (August) "Due to your history of Adjustment...mood you must provide the following..." a current copy of the Veteran's rating decision letter, treatment records (all I have is my C&P notes), and a current history of clinical examination. I understand that current history means within 90 days, so I have scheduled an evaluation with the same PsyD so that I can send in a follow up that shows I am well within the FAA guidance. My question: how likely am I to have to go to a HIMS? Should I prepare now for thousands of dollars to be spent to fix what seems to be an absolutely benign issue created without my seeking it? What things can I do to be proactive here? What things can I ask the PsyD to write or ask them to be very clear about on their report when I see them? I have the FAA letter and I have printed the "FAA CERTIFICATION AID – SSRI INITIAL Certification/Clearance - PSYCHIATRIST" paperwork to try to help them out with the lingo. Any other suggestions? @lbfjrmd @bbchien @Brad Douglas MD MPH AME figured you guys are the authority on this type of thing... Any and all help is appreciated! Thanks!