Navigating Mental Health and Medical Innovation in Aviation

Troy Merritt, a pilot for a major U.S. airline, returned from his 30th birthday trip in Croatia in October 2022 — sailing on a catamaran, eating great food, socializing with friends — and cried. This wasn’t back-to-work blues but collapsed-on-the-floor, full-body-shaking misery. When he wasn’t crying, he slept.

“I’ve got to find a therapist,” he told himself. And he did, quickly. If that therapist didn’t write down “depression,” Merritt would be OK. He could still fly planes, keep his job — as long as he wasn’t diagnosed with a mental illness.

Merritt, like all pilots, knew that if he was formally diagnosed with a mental-health condition, he might never fly a plane again.

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