Aviation Psychiatric Evaluations

Dr. Nelsen works with pilots who need to address a mental health diagnosis or use of a medication such as an SSRI. Common situations involve anxiety, depression, adjustment disorder, ADHD, eating disorders and other psychiatric conditions. The issue may be ongoing, recent, or from the past. It may even be based on an error or misdiagnosis. Dr. Nelsen will carefully review your records, meet with you, obtain collateral information, and create an official report for submission to the FAA, your AME, or other recipient of your choice. In many cases her evaluation will offer recommendations to help you achieve and sustain solid mental health so you can focus on flying.

HIMS Evaluations

For over 50 years the FAA and major airlines have partnered in a program called HIMS to help aviators recover from substance abuse and regain their ability to fly. In addition to safeguarding the public by promoting recognition of substance abuse among aviators, HIMS has saved the lives of numerous pilots by removing barriers to care. A HIMS examinations is typically required when an aviator has had a DWI, positive alcohol or drug test, or a medical issue caused by drug or alcohol use. In other cases, the FAA has received information about the aviator’s use of substances from a third party. Dr. Nelsen has worked extensively with aviators who have experienced each of these situations. She has seen many be restored to good health and regain medical certification. Her approach is thorough, objective and fair. She has been HIMS-certified by the FAA for over 10 years. Her evaluations are trusted by the FAA and AMEs and are sought out by aviators who want the most effective help getting back into flying.

Student Pilots

Dr. Nelsen has been helping student pilots of all ages obtain medical certification for over a decade. She knows the process and its challenges! Whether enrolled in a four-year university aviation program, a fast track commercial school, using the GI Bill for civilian pilot training, or taking private lessons, all students will need a medical certificate – if not now, then soon. Issues commonly addressed include anxiety, depression, ADHD, OCD, autism, childhood behavioral concerns or adjustment problems during the pandemic. Dr. Nelsen collaborates with pilots, parents, flight schools, AMEs, pediatricians and primary care providers to ensure efficient and effective evaluations tailored to each student pilot’s situation.

Veterans

Veterans face unique challenges when it comes to FAA medical certification, especially if they receive VA disability benefits for mental health conditions or were treated in the military. Whether you are a former military pilot or embarking on your first flight lesson, Dr. Nelsen will assist you by conducting a thorough assessment that anticipates and addresses FAA inquiries, minimizing complications and delays.

Air Traffic Controllers

Dr. Nelsen frequently works with air traffic controllers. She appreciates the unique stresses and demands of the job and its lifestyle, and she is well versed in the medical requirements placed on ATCs by the FAA. She often works with ATCs who are also pilots!

Rural and remote pilots

Dr. Nelsen is licensed in multiple states and works with pilots in some of the most remote and rural locations in the US, including Alaska, Hawaii and Guam. She offers virtual appointments that make it possible for crop dusters, bush pilots, active duty military, rescue pilots, backcountry park staff and others in underserved or difficult-to-reach locations to obtain evaluations without the time and expense of major travel. She provides appointments times that meet the needs of her clients, and loves learning about their jobs and the planes they fly. She is the only HIMS-certified psychiatrist for several states in the Upper Midwest, where pilots benefit from her ready knowledge of local resources.