An off-duty Alaska Airlines pilot’s alleged attempt to shut down a plane’s engine midflight is shining a renewed spotlight on mental health in aviation. For some industry experts, the pilot’s struggles going unnoticed – or even unreported – isn’t so surprising.

“We literally do not have the ability to see a therapist, to see a counselor to get mental health treatment, to literally be human,” said Josephe LoRusso, a private pilot and director of aviation at Ramos Law.

LoRusso explained the Federal Aviation Administration’s (FAA) mental health policies are outdated – unchanged since the 1980s – and one of the biggest reasons for the growing pilot shortage. He said airline pilots are required by the FAA to fill out a form annually and list the doctors they’ve seen in the last three years, including therapists. Yet such an admission could get a pilot’s wings clipped.

“Let’s say a pilot loses a loved one,” said LoRusso. “They can’t even see a grief counselor because that’s reportable on that form, and then they’re grounded. So, you’ve got two options — you either go get that treatment and lie on a government form, that’s essentially defrauding the government, punishable by revocation of certificates, civil penalty, jail time. Or, you just don’t get treatment.”

CBS News Colorado investigator Kati Weis recently spoke with an Army veteran who had his pilot license application all but turned down by the FAA because he admitted he has PTSD from his time in Afghanistan.

“I feel like I’m being punished for being forthcoming and getting the help that I felt that I needed,” said Adam Lemons.

It’s that punishment, LoRusso said, that leads many pilots to suffer alone. Despite his years of advocating for policy changes, he doesn’t believe that will happen anytime soon.

“It makes no logical sense to have aero-medical regulatory standards that are stuck in the 80s,” he said.

Additional CBS News coverage: https://cbsn.ws/4790dah