Will you lose your FAA medical if you seek help? Well, the FAA will be concerned if you are clinically diagnosed with a psychiatric condition, depressive disorder, psychosis, personality disorder, anxiety disorder or bipolar disorder, or substance abuse. So the keywords are clinically diagnosed. So another question you may be asking, what mental issues are most common among pilots? Most of them are depression, anxiety, alcohol and drug dependence. Another question might be what is the mental test for pilots? Or is there one?