Mental Health Articles

HIMS Explained: What Happens to Your Medical After a Substance-Related Event
A DUI, a positive test, or an honest answer on Item 18 can put a pilot in the FAA's HIMS program. It's not the end of a career. An FAA/HIMS trained aviation psychologist explains the evaluation, treatment, monitoring, and special issuance steps, and what a substance abuse evaluation actually looks at.
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Antidepressants and Your FAA Medical: How the Path Actually Works
Pilots can fly on certain antidepressants. The FAA's Antidepressant Protocol has a short list of approved medications, a stability period, and a defined evaluation path. An aviation psychologist walks through what it involves and what to do before you fill the prescription.
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Can Pilots Go to Therapy? What the FAA Actually Says
Yes, pilots can go to therapy, and as of May 2026 the FAA says it wants you to. What actually has to be reported, what doesn't, and how to walk in with your eyes open, from an aviation psychologist who used to fly.
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Why Do I Keep Having the Same Dream? A Psychologist on Recurring Dreams
If the same dream keeps coming back, it's tracking something in your life that hasn't moved. Here's what recurring dreams are, why they repeat, what they can tell you about your mental health, and what it takes to make one stop.
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What Does It Mean to Dream You're Trapped in a Building? A Psychologist Reads Her Own Dream
I dreamed about an office building nobody was allowed to leave, with a fake ocean on one floor and a real river under another. Here's the dream in full, how I read it as a psychologist, and what dreams like this can tell you about your mental health.
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COVID Was a Shared Trauma. Why Isn't Anyone Asking You About It?
When I ask new clients how COVID affected them, almost all of them say nobody has ever asked. Then every one of them has an answer. Here's why the pandemic counts as a shared trauma, what it did to adults and kids, why therapists skip over it, and how to finally take it seriously.
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The Four Identity Statuses: Marcia and Erikson Explained
Most of us were told we were supposed to know who we are by now. A psychologist walks through James Marcia's four identity statuses and Erik Erikson's psychosocial moratorium, and why the messy, uncertain middle is how a durable identity actually gets built.
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Burnout Isn't Tired. That's Why Rest Doesn't Fix It.
The people who come to me for burnout almost never lead with that word. They say they're fine, just tired, and then they explain a life that would exhaust anyone. Vacation doesn't touch it, because burnout was never about hours.
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Pilots Have Been Hiring Life Coaches. The FAA Just Gave You a Better Option.
For years, pilots hired life coaches because a psychologist felt like a risk to the medical. That was a rational response to the system. In May, the system changed.
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Autism and Transgender Identity: What the Research Actually Shows
Autistic people are three to six times more likely to be transgender. Nobody has explained why. So why is everyone so certain what it means?
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Supporting Loved Ones: Effective Strategies to Overcome Family Loneliness
Discover practical strategies to support a family member struggling with loneliness. Learn how to initiate conversation, encourage social interaction, provide emotional support, and foster a sense of belonging.
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Loneliness Is Bigger Than The Holidays
Loneliness exists beyond the holidays, yet only during this family-themed season do we glimpse the despair endured by millions throughout the entire year.
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The Realization of Harm
Claiming religious objection to providing life-saving services is an admission of personal apostasy. You are no longer serving God. I realized that in the years I was actively waving the banner of my faith, I was harming people I'd never met. I caused harm. I caused hurt. And I did it believing I was helping those who were suffering. I realized I was part of the problem after serving the communities I feared the most.
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Skiing, Lanes & False Memories
Skiing never came easy to me. My older brother was a phenomenal skier. It came naturally to him, or at least he made it appear so. Either way, it made my lack of talent even more evident and painful. And I do mean painful. My parents were relentless in their insistence I learn to ski, despite coming home from full-day classes with more bruises and fat lips than I can count.
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The Truth Lessons
What seems like a lifetime ago, I worked in advertising for a fellow named Tracy. He would occasionally tell the story of how he had won his most prominent client, an established and beloved grocery chain in Utah. While I'm sure he had caressed the story over the years, the underlying lesson was characterologically Tracy.
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Love Is Context Agnostic
Not long after moving to Colorado this summer, a stranger from the local religious community began inundating me with countless texts and calls. I was too burdened by the move to respond. My deferrals strengthened this woman's resolve to infringe on my privacy. She left random trinkets and notes on my doorstep. Despite explicit requests to stay off my property, she would knock on my door, hoping to initiate contact.
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What Is A Malcontent Humanist?
I’ve struggled my entire life to understand who I am and to know my role here amongst humanity. As a therapist, I often guide people through the process of identity development. I help patients and clients navigate the parts about themselves they like, the parts they dislike and facilitate their identification of characterological elements that transcend various identities they navigate or embrace.
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Acceptance & Exploration
Years ago, at the request of a mutual friend and the consent of all parties involved, I found myself arguing the importance of accepting a person’s stated identity. I needed this mother to accept her son as her daughter. In a quarrel I probably should have been smart enough to avoid, I dug deep into my arsenal of logical and emotional persuasion methods.
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A Sudden Flash of Light
I spent my first twelve years on Earth confident my life would end in a sudden flash of light. I was a child of the (late) seventies, and perhaps by then those who had lived through the missile crises of the previous decades had begun to doubt that cataclysmic inevitability.
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Unofficial Minister of Loneliness
Maybe it took a global pandemic rendering us isolated and powerless to gain awareness of our loneliness. Why is lonely such a terrifying word? Those kids up to no good: loners. Mass shooters: loners. Those who bother us or are otherwise unworthy of our attention or affection: loners.
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