SSRI wait time second time around

ImAPilot

Filing Flight Plan
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Mar 23, 2023
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I previously had an SI for major depression and after years off of medication and a maintaining an SI, I was given a letter of approval about 5 years ago, essentially saying I was free and clear and no longer needed a SI.

In 2023 I was diagnosed with adjustment disorder and went back on medication. I haven’t flown since. I understand this will be viewed as a recurrent episode and I will need to be on an SSRI forever now, despite the fact that it was adjustment disorder due to a life stressor.

I’ll be ready to go through the HIMS evaluation, cogscreen, etc. in June after being on a stable dose for 6 months. I’m a 121 pilot.

I’m trying to understand what kind of timeline I’m looking at for recertification moving forward. I see in threads here anywhere from 4 months to 18 months plus.

Does anyone have experience with a situation like this? Am I to expect my case will be a standard SSRI path? Is there any consideration for the fact that the FAA has already dug into my past diagnosis, or am I starting all over?
 
It's unclear from what you wrote, if the SI for the first major depression involved ON SSRI or was OFF SSRI....
 
It's unclear from what you wrote, if the SI for the first major depression involved ON SSRI or was OFF SSRI....
I was off SSRI by the time I applied for the first SI. I was never on the SI while taking medication.
 
Ugh. They are going to treat this a recurrent disease. Esp with Major depressive disorder, they are totally resistive if to attempt to do it off meds. You do this with the on SSRI pathway. It's a rare HIMS psychiatrist who is willing to say that two periods of psych support isn't recurrent disease....this is for what the path is designed. :(

Recurrent disease untreated and unmontored is 100% denied.
The frequency of recurrence when on even a trivial dose of one of the 7 meds....is much less that half the frequency of going bare.

(One of 4 Authors by petition, of the On SSRI pathway)
 
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