634 

14 CFR Ch. I (1–1–24 Edition) 

§ 67.207 

(1) Interferes with, or is aggravated 

by, flying or may reasonably be ex-
pected to do so; or 

(2) Interferes with, or may reason-

ably be expected to interfere with, 
clear and effective speech communica-
tion. 

(c) No disease or condition mani-

fested by, or that may reasonably be 
expected to be manifested by, vertigo 
or a disturbance of equilibrium. 

§ 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 fol-
lowing: 

(1) A personality disorder that is se-

vere enough to have repeatedly mani-
fested itself by overt acts. 

(2) A psychosis. As used in this sec-

tion, ‘‘psychosis’’ refers to a mental 
disorder in which: 

(i) The individual has manifested de-

lusions, hallucinations, grossly bizarre 
or disorganized behavior, or other com-
monly accepted symptoms of this con-
dition; or 

(ii) The individual may reasonably be 

expected to manifest delusions, hallu-
cinations, grossly bizarre or disorga-
nized behavior, or other commonly ac-
cepted symptoms of this condition. 

(3) A bipolar disorder. 
(4) Substance dependence, except 

where there is established clinical evi-
dence, satisfactory to the Federal Air 
Surgeon, of recovery, including sus-
tained total abstinence from the sub-
stance(s) for not less than the pre-
ceding 2 years. As used in this sec-
tion— 

(i) ‘‘Substance’’ includes: Alcohol; 

other sedatives and hypnotics; 
anxiolytics; opioids; central nervous 
system stimulants such as cocaine, am-
phetamines, 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 depend-
ent 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 so-
cial, personal, or occupational func-
tioning. 

(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 haz-
ardous, if there has been at any other 
time an instance of the use of a sub-
stance also in a situation in which that 
use was physically hazardous; 

(2) A verified positive drug test re-

sult, an alcohol test result of 0.04 or 
greater alcohol concentration, or a re-
fusal 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 his-
tory and appropriate, qualified medical 
judgment relating to the substance in-
volved, finds— 

(i) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied 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 privi-
leges. 

(c) No other personality disorder, 

neurosis, or other mental condition 
that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied 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 ap-
plied 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 privi-
leges. 

[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as 
amended by Amdt. 67–19, 71 FR 35764, June 
21, 2006] 

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