FAA HIMS Psychiatrist Evaluations: What to Expect

For aviation professionals, maintaining medical certification is essential for keeping their careers on track. However, if you are a pilot or air traffic controller who has experienced mental health or substance use issues, you may need to undergo a more specialized evaluation to retain or regain your certification. This is where the FAA HIMS (Human Intervention Motivation Study) program and the role of an FAA HIMS psychiatrist come into play.

The FAA HIMS program is designed to help individuals with a history of substance abuse or mental health conditions return to work safely while ensuring that they are fit to perform their duties in an aviation environment. The FAA HIMS psychiatrist plays a crucial role in evaluating these individuals to ensure they meet the medical and psychological standards set by the Federal Aviation Administration (FAA). Here’s what you can expect when undergoing an FAA HIMS psychiatrist evaluation.

  1. Understanding the FAA HIMS Program
    The FAA HIMS program is a comprehensive process aimed at evaluating and rehabilitating aviation professionals who have struggled with substance abuse or psychiatric conditions. The goal of the program is to ensure that the individual is capable of safely operating in the aviation industry, both mentally and physically. Participation in the program involves a series of evaluations, including regular assessments by an FAA HIMS psychiatrist.

The FAA HIMS psychiatrist plays a pivotal role in assessing your psychological well-being, determining your fitness for duty, and offering guidance on treatment options. If you have been referred to a psychiatrist through the HIMS program, it is because the FAA has recognized the need for further evaluation in light of your mental health history or substance use issues.

  1. The Initial Evaluation
    When you first meet with an FAA HIMS psychiatrist, the evaluation will be thorough. The psychiatrist will conduct a detailed assessment to understand your medical, psychological, and substance abuse history. They will ask about:

Your Mental Health History: The psychiatrist will inquire about any past or current mental health conditions, such as anxiety, depression, or bipolar disorder, and how these conditions have been managed over time.

Substance Use History: If you have had issues with alcohol or drug abuse, the psychiatrist will evaluate the extent of your past use, any rehabilitation efforts you’ve undertaken, and your current sobriety status.

Treatment History: If you have received treatment for mental health or substance use issues in the past, the psychiatrist will review your treatment plan, including the success of that treatment and any follow-up care.

Current Symptoms and Functioning: The psychiatrist will assess your current mental health status, including any symptoms you may be experiencing, how they impact your daily functioning, and whether they are under control.

This initial evaluation helps the FAA HIMS psychiatrist create a comprehensive picture of your mental health and substance use history to determine whether you meet the medical standards required by the FAA.

  1. Psychiatric Testing and Assessments
    As part of the evaluation, the FAA HIMS psychiatrist may recommend psychological testing or assessments to gain further insight into your mental health. These tests may include standardized psychological evaluations, such as personality assessments or mood questionnaires. These tests help the psychiatrist understand the underlying psychological factors that may be affecting your behavior and decision-making abilities.

The goal of these tests is to determine if you are currently fit for duty in the aviation industry, and whether you are at risk of future relapse or psychological distress. The psychiatrist will use the results of these tests to guide their recommendations and provide a clear understanding of your mental health status.

  1. The Role of Monitoring and Follow-Up
    An important aspect of the FAA HIMS program is monitoring. If you are found to have a history of mental health or substance use issues, the psychiatrist may recommend ongoing treatment or support, such as therapy or participation in a substance abuse recovery program. The FAA may require you to engage in regular check-ins with your psychiatrist, attend support groups, or comply with other recovery measures to maintain your certification.

Follow-up evaluations are critical in ensuring that you remain stable and capable of safely performing your duties. The psychiatrist will monitor your progress, assess your treatment adherence, and determine whether further intervention or adjustments are needed.

  1. Outcome of the Evaluation
    After completing the evaluation process, the FAA HIMS psychiatrist will provide a recommendation to the FAA about your fitness to fly or return to work. There are several possible outcomes:

Medical Certification Approval: If the psychiatrist believes that you have successfully managed your mental health or substance use issues and you meet the FAA’s medical standards, you may be cleared to return to work with or without certain conditions, such as regular monitoring or continued therapy.

Deferral for Further Evaluation: If additional assessments or treatment are necessary, the psychiatrist may recommend further evaluation before the FAA can make a final decision on your certification.

Disqualification: In some cases, the psychiatrist may determine that you are not currently fit for duty due to ongoing issues or risk factors. However, the goal of the HIMS program is to help individuals achieve recovery, and disqualification does not necessarily mean the end of your career—it may simply indicate the need for further rehabilitation or treatment.

  1. Confidentiality and Professionalism
    Throughout the evaluation process, your privacy and confidentiality are paramount. The FAA HIMS psychiatrist follows strict ethical guidelines to ensure that your personal health information remains protected. The psychiatrist is focused on understanding your mental health or substance use history in a professional and nonjudgmental way, and the goal is always to help you achieve a stable and healthy state for the safety of both you and the aviation community.

It’s important to be open and honest with your FAA HIMS psychiatrist during the evaluation process. Transparency will help the psychiatrist assess your situation accurately and make the best recommendations for your health and career.

  1. Preparation for Your Evaluation
    If you’ve been referred for an FAA HIMS evaluation, there are several steps you can take to prepare:

Bring Documentation: Be sure to bring any relevant medical records, psychiatric evaluations, and substance use treatment history to your appointment. This will help the psychiatrist get a clear picture of your health background.

Be Honest: Be open and honest about your mental health history, substance use, and any current symptoms you may be experiencing. This will ensure that the psychiatrist can make the most informed decision.

Follow Through with Recommendations: If the psychiatrist recommends therapy, counseling, or treatment, make sure to follow through. Demonstrating your commitment to maintaining mental and emotional well-being can positively impact your evaluation results.


The FAA HIMS psychiatrist evaluation is a key step for aviation professionals with a history of mental health or substance use issues. It offers a comprehensive approach to assessing fitness for duty while focusing on recovery and support. Regular evaluations, treatment plans, and ongoing monitoring help ensure that individuals in the aviation industry are mentally and physically capable of performing their duties safely. If you are undergoing an FAA HIMS psychiatrist evaluation, understanding the process and being proactive in your preparation will help ensure the best possible outcome for your career and well-being.

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