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Mental health

Ketamine

Treatment named in the FAA's anxiety and depression decision tool

FAA guidance

FAA review required.

Examiner

FAA review required; the examiner defers

Source: FAA, Anxiety, Depression, and Related Conditions – Fast Track Pathway Decision Tool. FAA date 25 September 2024. Checked by Crosscheck 14 October 2026

The FAA's anxiety and depression decision tool for the examiner asks about any history of any form of ketamine therapy, alongside electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS) and psychedelic therapy.

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Compare FAA documents: ketamineWhat each of the two FAA documents says, in plain wordsOpen

If any single item is answered YES, the examiner must defer and note what caused the deferral. The Fast Track pathway's copy of the same question says that with any YES the individual does not qualify for the Fast Track pathway. Esketamine (Spravato) has its own entry.

Show the FAA's words: ketamineThe official FAA wording: two passages, each with its document and dateOpen
FAA, Anxiety, Depression, and Related Conditions – Fast Track Pathway Decision Tool · FAA date 25 September 2024
Only uncomplicated anxiety, depression, and related conditions will qualify for this pathway.
4. Any history of any forms of the following treatment modalities: Electroconvulsive (ECT), Transcranial Magnetic Stimulation (TMS), Ketamine, or Psychedelic therapy?
*If ANY SINGLE ITEM falls into the “YES”/SHADED COLUMN, the AME MUST DEFER. The AME report should note what aspect caused the deferral and explain any YES answers.
FAA, Anxiety, Depression, and Related Conditions – Fast Track Pathway · FAA date 25 September 2024
4. Any history of any forms of the following treatment modalities: Electroconvulsive (ECT), Transcranial Magnetic Stimulation (TMS), Ketamine, or Psychedelic therapy?
If any items fall into the “YES” column, STOP. The individual does not qualify for the FAST TRACK pathway.
Sources and dates: ketamineTwo FAA documents, with the FAA's date and when Crosscheck checked themOpen

See also

Medication guidance alone does not determine whether a pilot is medically qualified to fly. The underlying condition, dosage, side effects, medication combinations, and certification history may affect FAA eligibility.

For informational purposes only. Not legal or medical advice.