Assessing for Mental Health Problems as Part of the Pilot Selection Process
Published in Robert Bor, Carina Eriksen, Todd P. Hubbard, Ray King, Pilot Selection, 2019
Robert Bor, Carina Eriksen, James Arkell, Raymond E. King
Appearance: how does the person look (thin, well-groomed or scruffy, pale or flushed)? For example, appearing too thin or underweight may signal a depressive disorder, excessive stress/anxiety or anorexia, and possibly serious substance abuse. Is there a noticeable odour? A smell of alcohol may indicate alcoholism whereas a stale sweat odour may indicate lack of self-care (which can be a symptom of several psychological problems including excessive stress, depression or more severe psychiatric disorders). The appearance alone is not sufficient for the clinician to develop an understanding of the pilot’s presentation. This single source of information may equally well be caused by something else. The alcohol odour, for example, may be driven by anxiety where a person consumes a glass of wine ‘to quell nerves’ before the interview.