HIMs Psyc vs Standard Psyc

  • Thread starter Thread starter AppleNerd270
  • Start date Start date
A

AppleNerd270

Guest
Hello Pilots,

Please forgive my ignorance on this subject. I also am not posting for shame, just generally curious. I am a hopeful student pilot who has a history General Anxiety Disorder/Depressive Order Single Episode due to some traumatic events years ago. I was put on an SSRI for about 2 years, and have been off for about a year (maybe a year and a few months) at this point. We did a med trial so as I tapered one I was on the other. That is the one I remained on. I did a consult with an AME but he didn’t seem to sure on the answers so I wanted to get some input here.

First, I’m guessing this will be counted as concurrent use? He couldn’t say?

Second,

He did say that no matter what we do it will have to be deferred. He did say to better help the chances we can give the FAA what they “may” need which would be a written psychological evaluation and the most recent progress note from my Psyc. As I have been seeing online there are HIMs Psyc evaluations. I’ve seen some letters others post online that says the FAA wants a Psyc evaluation “preferably” by a HIMs psychiatrist. I do still see my psychiatrist to ensure no symptoms return. It’s normally an hour every three months for a check in, a progress note is generated and we say see you next visit.

My question is, since I’m actively being seen by a board certified psychiatrist (not a nurse practitioner) would the FAA be likely, if the report is favorable to issue (special issuance or regular) even though my doctor isn’t a certified HIMs Pysc or should I get an independent evaluation by a HIMs Pysc? I found a document online of what an acceptable FAA progress note includes, and showed that to my doctor and they are fine writing up
something touching all of those points. I know it will be a long wait, and that’s fine, just trying to expedite it as much as possible and be more proactive than reactive.

Thanks to all
 
isnt there a short cut pathway if u have been off for two years and are stable
 
I think that stems back to the concurrent use. While a 2 medication regimen wasn’t prescribed, I did take 2 at the same time while tapering the old and starting the new. Probably was 3 weeks in duration if I’m guessing. I saw that pathway however concurrent use is a disqualifier and would have to go to jokelahoma for review
 
wellknow, The AME has to prove no recurrency and is excluded for this path if there are dual simultaneous meds. However, if the intent of the dual meds was to transition from one to another, and the overlap was <<90 days, FAA has in the past interepreted that as "Not dual meds". He's got to send in all the data to be second guessed so there is no shucking and dodging here..

Sounds like the OP simply needs a current OV from his psychiatrist (and the entire record).

1748955288013.png
 
Many thanks to all that replied! I’ll have them type up a letter in accordance with the progress note standards for the FAA, and send in the medical record. Thanks all!
 
Michael T. Runyan said:
BBChien would be the doctor you might want to hire to help you get through the process. He does not work with everyone though.
Click to expand...
I’ll start with what he said and have the doctor prepare a detailed progress note, send in the pharmacy report, and complete record. If they ask for anything more or require HIMs I’ll cross that bridge when I get to it. Seems like it’s a lot of waiting and seeing, but with the info provided I think that will help (hopefully) in painting a clear picture for the FAA and that they will be satisfied. Preparing for the worst, but hoping for the best!

Thanks again all!
 
AppleNerd270 said:
I’ll start with what he said and have the doctor prepare a detailed progress note, send in the pharmacy report, and complete record. If they ask for anything more or require HIMs I’ll cross that bridge when I get to it. Seems like it’s a lot of waiting and seeing, but with the info provided I think that will help (hopefully) in painting a clear picture for the FAA and that they will be satisfied. Preparing for the worst, but hoping for the best!

Thanks again all!
Click to expand...
There is not a chance I would use an AME that did not know the answer to your question. It will be a much longer road than necessary, but best of luck to you. Mine took right at three years from first appointment until my first special issuance. My advice would be to work with a HIMS AME that has access to the requisite RFS or on call doctor so you can get the right answers the first time.
 
Michael T. Runyan said:
There is not a chance I would use an AME that did not know the answer to your question. It will be a much longer road than necessary, but best of luck to you. Mine took right at three years from first appointment until my first special issuance. My advice would be to work with a HIMS AME that has access to the requisite RFS or on call doctor so you can get the right answers the first time.
Click to expand...
Absolutely,

I’m new to everything here and he was the closest AME. He had some decent reviews so I didn’t think anything of it. I could have done some further research. As I knew on SSRI was a challenge while taking the medications, stupid me told them about the historical use. Wish I “forgot” but I digress.

Can’t change the past without lying, so its go through the process and hopefully once this hurdle is over either go to basic med, or hope for regular issuance after some time has passed of sending in progress notes. Which is a bit funny because from what I have read, they have a 6 month back log, so by the time they even get the notes, I wouldn’t be surprised if the jokers said “these are now out of date, we need new ones”

God bless anybody that is going through the SI path with them. No wonder there is a pilot shortage! Welcome to the USA!
 
Old Thread: Hello . There have been no replies in this thread for 365 days.
Content in this thread may no longer be relevant.
Perhaps it would be better to start a new thread instead.
Back
Top