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Fortunately, commercial pilots in the US have access to mental health resources to help treat things like substance abuse or the underlying factors that could lead to it.
Oh wait, I misspoke.
What I meant to say was commercial pilots in the US can not seek mental health resources AT ALL or they get their license revoked by the FAA. Silly me.
Wrong and right.
In the context of alcohol, you have to notify your substance abuse program before you “get caught”. IOW, if you know you have a drinking problem and call before you check in for duty, you will be removed from flying and placed in the program. You’ll piss people off, but you won’t get fired. If you show up, check in for work, then get caught, you’re fucked. No program for you.
As far as other mental health issues go, yeah. It can be really, really hard to get treated without jeopardizing your job, which can also be part of the reason why alcohol is such a problem in the industry. Self medicating away a problem. Luckily antidepressants are becoming acceptable.
After you complete the program, do you go back to full flying status? Or do they put you in a corner until you quit because your career there is over?
If you legit successfully go through the program you’re good. I know two people who have done it and they have mixed reviews (one was happy to have kicked a habit, the other was grumpy about what they felt were unnecessary difficulties) but both are still employed and flying today. If you fail the program, you’re out. It’s not a joke, everyone gets involved. The FAA, FAA medical, Union medical (the unions often provide the program) physicians… it can be long and probably uncomfortable.