This podcast from Transport Security International Magazine examines the concerning issue of mental health problems among pilots and the potential threat they pose to aviation safety. It presents several recent incidents where pilots have exhibited erratic behaviour, including attempting to crash planes or engaging in violent acts, highlighting the need for a better understanding of and response to the “insider threat” presented by pilot mental health. The podcast explores the limitations of current screening practices, which rely heavily on pilot self-disclosure, and discusses the growing concern about the stigma associated with seeking help for mental health issues within the aviation community. It advocates for increased awareness, improved support systems, and a shift towards a culture that encourages pilots to seek help without fear of repercussions.