Psychological problems among pilots are a threat to flight safety, and the outcome of deteriorating mental health can be catastrophic. With cycles of stigma existing in the aviation industry, pilots may be reluctant to disclose mental health problems for fear of losing their license to fly. Many pilots may be managing depressive symptoms without treatment due to the fear of negative career impacts. Because of the unique and challenging working conditions of pilots, the aviation industry, as well as the Federal Aviation Administration, should encourage and provide support for treatment with the same concern as any other physical illness or injury.