---
kind: "section"
citation: "14 C.F.R. § 67.207"
title: "14"
number: "67.207"
heading: "Mental."
url: "https://uscodex.org/cfr/14/67.207"
---

# §67.207. Mental.


Mental standards for a second-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.

## Notes

### Amendments

[Docket 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67-19, 71 FR 35764, June 21, 2006]

### Authority

Authority: 49 U.S.C. 106(f), 40113, 44701-44703, 44707, 44709-44711, 45102-45103, 45301-45303.

### Source

Source: Docket 27940, 61 FR 11256, Mar. 19, 1996, unless otherwise noted.

### Amendments

[Docket 27940, 61 FR 11256, Mar. 19, 1996, as amended by Amdt. 67-19, 71 FR 35764, June 21, 2006]