§ 67.107 Mental. Mental standards for a first-class airman medical certificate are: ( a ) No established medical history or clinical diagnosis of any of the following: ( 1 ) A personality disorder that is severe enough to have repeatedly manifested itself by overt acts.
( 2 ) A psychosis. As used in this section, “psychosis” refers to a mental disorder in which: ( i ) The individual has manifested delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition; or
( ii ) The individual may reasonably be expected to manifest delusions, hallucinations, grossly bizarre or disorganized behavior, or other commonly accepted symptoms of this condition.
( 3 ) A bipolar disorder.
( 4 ) Substance dependence, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. As used in this section— ( i ) “Substance” includes: Alcohol; other sedatives and hypnotics; anxiolytics; opioids; central nervous system stimulants such as cocaine, amphetamines, and similarly acting sympathomimetics; hallucinogens; phencyclidine or similarly acting arylcyclohexylamines; cannabis; inhalants; and other psychoactive drugs and chemicals; and
( ii ) “Substance dependence” means a condition in which a person is dependent on a substance, other than tobacco or ordinary xanthine-containing (e.g., caffeine) beverages, as evidenced by— ( A ) Increased tolerance;
( B ) Manifestation of withdrawal symptoms;
( C ) Impaired control of use; or
( D ) Continued use despite damage to physical health or impairment of social, personal, or occupational functioning.
( b ) No substance abuse within the preceding 2 years defined as: ( 1 ) Use of a substance in a situation in which that use was physically hazardous, if there has been at any other time an instance of the use of a substance also in a situation in which that use was physically hazardous;
( 2 ) A verified positive drug test result, an alcohol test result of 0.04 or greater alcohol concentration, or a refusal to submit to a drug or alcohol test required by the U.S. Department of Transportation or an agency of the U.S. Department of Transportation; or
( 3 ) Misuse of a substance that the Federal Air Surgeon, based on case history and appropriate, qualified medical judgment relating to the substance involved, finds— ( i ) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
( ii ) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
( c ) No other personality disorder, neurosis, or other mental condition that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds— ( 1 ) Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
( 2 ) May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67-19, 71 FR 35764, June 21, 2006]