Mental health Flashcards

1
Q

what is the Reinhardt’s stages of aviator’s life

A

Stage 1: Glamorous years (22-24yr). Characterised by thrill, drive for mastery and being uninhibited, exploratory and daring
Stage 2: Years of increasing caution. (24-28yr) discovery of human limitations.
Stage 3: controlled fear of flying age 30-38.joy and thrill develop from doing a proficient job
Stage 4: Safe year >38yr. Mature, dependable and consummate aircraft captain.

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2
Q

Aviator psychological problems

A

Alcohol abuse or dependence as common coping mechanism, previously socially encouraged, now less tolerated

Eating disorder eg bulimia or anorexia nervosa

adjustment disorder

personality disorders eg borderline PD

Violent behaviour tendency

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3
Q

Military aeromedical disposition for psychological conditions

A

TMUFF min 12 months
until stable and off meds for min 3 months
I/CAMECR to return to flying - likely as or with co pilot 12months

recruits = class 4 with waiver if short term and resolved fully and remained stable

follow up as clinically indicated

Bipolar is a flat no

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4
Q

Aeromedical disposition for psychological condition for CASA

A

TMUFF until stable on meds
Specialist or treating doctor report as supporting documentation
Certified CASA Audit: 12 months with treating doctor report

bipolar is flat no

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5
Q

Depression and flying in military

A

TMUFF for 12months
until stable and off meds for 3 months

if still on med then I/CAMECR to return to flying - likely as or with Co-pilot

Recruits as a no

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6
Q

Depression and flying in CASA

A

TMUFF until stable on approved meds
min of 4 weeks

need supporting documentation from treating doctor

12 month reviews

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7
Q

Anxiety disorders, aeromedical disposition for military

A

depends of specific phobia easier to manage with avoidance vs generalised anxiety.

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8
Q

PTSD and Acute stress disorder

A

Mane early to prevent worsening

unfit to fly while working up

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9
Q

OCD and aeromedical disposition in military

A

Risk of incapacitation due to disabling symptoms
impaired cognitive performance and inattention.
Aviation environment can precipitate and aggravate disorder

Risk assessment
Good prognosis if can demonstrates stability off medications
if need for long term medication = long term unfitness for flying.

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10
Q

OCD and aeromedical disposition for CASA

A

Need stability and euthymia on approved medications

can fly if well

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11
Q

personality disorders and aeromedical disposition in military

A

unfit for flying duties long term

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12
Q

Personality disorder aeromedical disposition in CASA

A

Complex case management panel review

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13
Q

Psychosis aeromedical disposition in military and CASA

A

Schizophenia = long term unfitness for flying duties

single psychotic episode with well defined trigger = individual risk assessment

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14
Q

ADHD aeromedical disposition in military and CASA

A

individual risk assessment for PmHx in recruits and new applicant
if current symptoms or medication then long term unfitness for flying duties

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15
Q

Eating disorders and aeromedical disposition in military

A

Individual risk assessment

likely unfit to fly

associated with metabolic disturbance and increase risk of incapacitation

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16
Q

Substance abuse aeromedical disposition in military

A

if hx of relapses the long term unfitness for flying duties

if single with compliant with well documented rehabilitation = individual risk assessment and return to multi-crew flying duties with long term follow up