To fly a plane, pilots must prove to the Federal Aviation Administration that they’re physically and mentally fit. But when it comes to mental health, the rules are complicated and, some say, outdated.

Pilots who need antidepressants are limited to a short list of approved medications and must take a mandatory six-month leave. Even common diagnoses like anxiety or depression can trigger reviews that could ground them.

The F.A.A.’s rules are born out of desire to keep the public safe, but in this episode we talk to pilots, aspiring pilots, and medical aviation professionals about their unintended consequence: incentivizing people to stay quiet about their mental health issues.

Read: Why Airline Pilots Feel Pushed to Hide Their Mental Illness

Podcast production by Zoe Azulay.

Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus.

And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Part Two: The Conspiracy to Begin All Conspiracies

Behind the Bastards

Catholic anti-Masonic beliefs primed acceptance of the Protocols

The AI-powered Podcast Player