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Class 1 Medical - Mental Health

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Class 1 Medical - Mental Health

Old 1st Mar 2019, 09:46
  #1 (permalink)  
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Join Date: Jan 2019
Location: East Yorkshire
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Class 1 Medical - Mental Health

Let me set the scene :

Around 2 years ago I had a blip within my mental health. There were a number of triggers which covered a number of topics such as:-
  • The failure of my PPL exam (when I was 15 - lost all confidence and literally killed me - pathetic now considering I passed them all earlier last year and got full marks in all exams)
  • The failure of my business
  • The loss of my secure job
  • The unexpected passing of extremely close family members over 2 months
  • The difficult past relationship which left my financially unstable and somewhat mentally scared
Whilst I did see a psychiatrist & physccologist, there was never any diagnosis and with some talking therapy (no meds) I recovered. Like I say, I went on the obtain my class 2 medical (yes - I mentioned all this to them and was issued with the class 2 without any issues) and Iíve been flying PPL since.

So Iíve been to my class 1 and they sent me to an indepnednt physiologist. Heís taken all my medical notes and said ďIt looks like a complex pastĒ

This fills me with very little confidence and in all honestly, I donít think heís very confident on the whole thing either.

With all that in mind, just wondered if anyone else had had the same experience with this or something similar. What are the CAA like when dealing with stuff like this? Do I just need to look for a new career?
Jordan199721 is offline  
Old 1st Mar 2019, 11:28
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Join Date: Jan 2019
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Hi Jordan,

It sounds like you went through many difficult events over a short period of time and I believe that a lot of us would have taken a hit to our mental health if we went through everything you did. From what you have posted it appears that you were able to seek help, were successfully treated and have made a full recovery so well done! you have gone on to pass your PPL exams which is great also!

I am not a medical professional so it would not add any value for me to discuss your particular circumstances but I would like to share my experience of an AME referral to a Psychiatrist (which i attended yesterday) in the hope that this may help put your mind at rest or give you an indication of what to expect.

I received a referral to a Psychiatrist after my AME reviewed my completed forms at the initial examination. I had 3 recorded instances on my GP records of work related stress, depression and low mood and had listed these on the form. I obtained a letter from my GP which detailed the symptoms of these 3 instances including the treatment I received. As this was nearly 5 years ago my GP also stated on the letter that I had been successfully treated and had that it would appear that I have been symptom free for the past 5 years. I have indeed been symptom free for this time and made a full recovery but as the GP has not seen me in 5 years I expect he chose the wording of 'appear'. Anyway, I presented my GP letter to my AME at my Class 1 and his response came across as negative (well from my perception) and he pointed out that i would certainly need to be referred to a Psychiatrist and he referenced the Germanwings incident. I was expecting this and fully understand the reasons for an investigation but like yourself the AME's reaction did not fill me with confidence.

I visited the Psychiatrist that they recommended based in Swindon, he is ex RAF and CAA and a really nice bloke. He put me at ease immediately and starting asking basic life questions such as : where am I from? what do I do for work? any brothers and sisters etc. This relaxed me and the discussion was flowing well, he then stated why I was here and why we had to go through this process, again referencing the Germanwings incident. I then took this opportunity to present him with the letter from my GP which he said was extremely useful. He then took a minute to read it through and then he ran through each of the 3 incidents and we talked about what triggered them and how I was treated. This was an easy discussion as the Psychiatrist was very warm and friendly and made me feel at ease. I believe having this letter was extremely beneficial as it presented the facts in a concise manner and it was easy for me to refer to and respond to any questions without waffling.

The rest of the discussion was very pleasant and actually very educational as the Psychiatrist explained how the body responds to stress triggers and how depression comes on etc. We also spoke a little bit about the RAF and flying in general as well as my plans to start an MPL course.

I was in there for about an hour and the Psychiatrist advised that the stress/depressive episodes I experienced 5 years ago were an expected reaction to the things that were going on in my life at the time. He advised that he was happy to complete the report and that I would not have any issues.

I would recommend that you obtain a letter from whomever you saw before (GP, Psychiatrist etc) stating the dates, symptoms and any treatments so that you have all your facts lined up and clearly presented before you go in.

May of us have 'blips' in our mental health you did the right thing by seeking help and also disclosing it on your Class 1 forms. I was incredibly anxious about my medical history and to the point where like yourself I was worrying wether I should be seeking another Career. Looking back I was getting myself in a state for no reason, I guess we entertain those thoughts because so much is hanging on obtaining this Class 1 that some anxiety is to be expected.

Good luck with it! I expect you will be fine! and let us know how it goes.
sethgecko is offline  
Old 2nd Mar 2019, 09:27
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Join Date: Jan 2019
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Hi Jordan, I just realised (also from your other post) that you may have meant 'psychiatrist' when you referred to seeing a 'physiologist' and therefore you have already attended the AME referral.

I will leave my reply here though as it may be useful to others going through the same process.
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Old 5th Mar 2019, 11:55
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Join Date: Jan 2019
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Originally Posted by Jordan199721 View Post

Whilst I did see a psychiatrist & physccologist, there was never any diagnosis
Disavow yourself of that notion immediately. Of course there was a diagnosis. There is ALWAYS a diagnosis, and this is always the first defense people use in these cases.

There WAS a diagnosis. Find out what it was and start over.

mryan75 is online now  
Old 6th Mar 2019, 17:00
  #5 (permalink)  
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Originally Posted by sethgecko View Post
Hi Jordan, I just realised (also from your other post) that you may have meant 'psychiatrist' when you referred to seeing a 'physiologist' and therefore you have already attended the AME referral.

I will leave my reply here though as it may be useful to others going through the same process.

The chap who I saw as from the AME was a Psychiatrist - apologies for the confusion!
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Old 6th Mar 2019, 17:02
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Originally Posted by sethgecko View Post
Hi Jordan,

It sounds like you went through many difficult events over a short period of time and I believe that a lot of us would have taken a hit to our mental health if we went through everything you did. From what you have posted it appears that you were able to seek help, were successfully treated and have made a full recovery so well done! you have gone on to pass your PPL exams which is great also!

I am not a medical professional so it would not add any value for me to discuss your particular circumstances but I would like to share my experience of an AME referral to a Psychiatrist (which i attended yesterday) in the hope that this may help put your mind at rest or give you an indication of what to expect.

I received a referral to a Psychiatrist after my AME reviewed my completed forms at the initial examination. I had 3 recorded instances on my GP records of work related stress, depression and low mood and had listed these on the form. I obtained a letter from my GP which detailed the symptoms of these 3 instances including the treatment I received. As this was nearly 5 years ago my GP also stated on the letter that I had been successfully treated and had that it would appear that I have been symptom free for the past 5 years. I have indeed been symptom free for this time and made a full recovery but as the GP has not seen me in 5 years I expect he chose the wording of 'appear'. Anyway, I presented my GP letter to my AME at my Class 1 and his response came across as negative (well from my perception) and he pointed out that i would certainly need to be referred to a Psychiatrist and he referenced the Germanwings incident. I was expecting this and fully understand the reasons for an investigation but like yourself the AME's reaction did not fill me with confidence.

I visited the Psychiatrist that they recommended based in Swindon, he is ex RAF and CAA and a really nice bloke. He put me at ease immediately and starting asking basic life questions such as : where am I from? what do I do for work? any brothers and sisters etc. This relaxed me and the discussion was flowing well, he then stated why I was here and why we had to go through this process, again referencing the Germanwings incident. I then took this opportunity to present him with the letter from my GP which he said was extremely useful. He then took a minute to read it through and then he ran through each of the 3 incidents and we talked about what triggered them and how I was treated. This was an easy discussion as the Psychiatrist was very warm and friendly and made me feel at ease. I believe having this letter was extremely beneficial as it presented the facts in a concise manner and it was easy for me to refer to and respond to any questions without waffling.

The rest of the discussion was very pleasant and actually very educational as the Psychiatrist explained how the body responds to stress triggers and how depression comes on etc. We also spoke a little bit about the RAF and flying in general as well as my plans to start an MPL course.

I was in there for about an hour and the Psychiatrist advised that the stress/depressive episodes I experienced 5 years ago were an expected reaction to the things that were going on in my life at the time. He advised that he was happy to complete the report and that I would not have any issues.

I would recommend that you obtain a letter from whomever you saw before (GP, Psychiatrist etc) stating the dates, symptoms and any treatments so that you have all your facts lined up and clearly presented before you go in.

May of us have 'blips' in our mental health you did the right thing by seeking help and also disclosing it on your Class 1 forms. I was incredibly anxious about my medical history and to the point where like yourself I was worrying wether I should be seeking another Career. Looking back I was getting myself in a state for no reason, I guess we entertain those thoughts because so much is hanging on obtaining this Class 1 that some anxiety is to be expected.

Good luck with it! I expect you will be fine! and let us know how it goes.
This is most helpful and I really appreciate the time you explaining! Honestly, the Psychiatrist seemed so out-of-touch. No small talk, had to ask me why I was even there, looked over my doctors notes, made some funny faces and said ďIíll have to read through this and get back to youĒ then gave me an invoice for £280! The guy who you saw sounds way better! God knows why my AME referred me to a guy in Brighton who only works on Thursdays and charges £280! (I live In East Yorkshire!)
Jordan199721 is offline  
Old 6th Mar 2019, 17:34
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Join Date: Jan 2019
Location: London
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Hi Jordan,

When you visited the Psychiatrist did he not sit down with you and conduct an evaluation? (or whatever it is called in clinical terms). It sounds like he literally took your notes from you and sent you away? seems really odd!

Did he advise on the next steps? is your expectation that he will now complete his report and forward back to the AME? I don't like to speculate but perhaps he has enough information from your notes to complete the report? he may reach out to you if any further information is required. Might be worth reaching out to his Medical Secretary for an update to see where things are.

Let us know how you get on! I am currently waiting for the Psychiatrist who saw me last week to complete and forward my report to the AME.

Cheers.
sethgecko is offline  
Old 6th Mar 2019, 19:29
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Originally Posted by sethgecko View Post
Hi Jordan,

When you visited the Psychiatrist did he not sit down with you and conduct an evaluation? (or whatever it is called in clinical terms). It sounds like he literally took your notes from you and sent you away? seems really odd!
Very much like this. I would not recommend the particular physiologist at all. Totally felt out of touch and awkward. No small talk or anything. When I explained to him why I was there, he slowly came around. He asked me to fill in this 5 question assessment thing and asked me for a ďgeneral overview as to what had happened in the pastĒ I think I must have said about 2 sentences then spent the rest of the time reading through my medical records and pulling funny faces. He just then turned around and said ďthis looks complex, Iíll take a look and get back to youĒ after probing a little further he said he thinks heíll send the letter to the AME, who will then send it to the CAA so that their physiologists can assess the assessment, who will then contact my AME again, who will then contact me. I was in there around 20-30 minutes

It sounds like a really around the houses kind of system but I guess thatís the CAA all over! Iím expecting around a month before I hear anything. I guess when I get the medical records back, that will give me an indication as to when he wrote the report and itís been sent.

I am confident they will probably decline the Class 1, but Iíll defiantly fight for it because everything that happened, happened for a reason and was a result of something. Just like yours was work-related. Fingers cross youíll be fine. Sounds like the physiologist was happy with everything
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Old 19th Mar 2019, 19:56
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Join Date: Jul 2018
Location: Uk
Posts: 30
Hi Jordan i went to a good psychiatrist in Harrogate and i understand that is close to you, yes there will be personal questions and she will drill into your past like she also did with me but do not give up on your dreams!
My past spell of anxiety was through loosing my job which she completely understood.
Her name is Dr Susan Bradbury ,cost £350 ,it took her about 7 days for the report to be written from my consultation.
[email protected]

Ciao
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Old 21st Mar 2019, 11:56
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Originally Posted by Logun94 View Post
Hi Jordan i went to a good psychiatrist in Harrogate and i understand that is close to you, yes there will be personal questions and she will drill into your past like she also did with me but do not give up on your dreams!
My past spell of anxiety was through loosing my job which she completely understood.
Her name is Dr Susan Bradbury ,cost £350 ,it took her about 7 days for the report to be written from my consultation.
[email protected]

Ciao
That is very speedy! And Harogate is literally a 30 minuets drive from me! Thanks so much for the recommendation, definitely going to check that out! Hope youíve managed to get it sorted with the CAA? Im 3 weeks later and STILL no report hasnít been written and they think they have lost my medical records!! I am beyond livid at the moment!
Jordan199721 is offline  
Old 22nd Mar 2019, 11:28
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Join Date: Jan 2019
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Jordan, any chance you can get your medical records directly from your GP yourself? When I spoke to my Surgery they were happy to do this, the fee was only £12. The NHS have a system called systmonline, as a patient you can get access to it and view a summary record of your medical notes yourself.

My Psychiatric report was completed in less than a week. If I were in your shoes I would take a pragmatic approach, obtain your records and perhaps visit Dr Bradbury and get this over the line!
sethgecko is offline  
Old 22nd Mar 2019, 15:39
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Before the appointment, I went to my GP and requested my medical records, so that I could take them down south to this appointment with me. I left them there as they said they wanted to have a look through them now theyíre saying they canít find them! Iím annoyed theyíve lost that level of sensitive data! On the bright side - in that conversation I also had confirmation they have finally wrote the letter and sent it to my AME - yesterday! 3 weeks after the initial apt!
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Old 23rd Mar 2019, 09:58
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Join Date: Jul 2018
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Best of luck to you Jordan.
Logun94 is offline  
Old 23rd Mar 2019, 09:58
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Did you go to Hms or Gatwick btw?
Logun94 is offline  

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