In the minutes before he boarded an Alaska Airlines flight home last month, Joseph Emerson, a pilot for the airline, texted his wife. He was eager to be home with their two young children and longing to be next to her. “I just want to hold you,” he wrote.
The flight was full, and Mr. Emerson was off duty, so he settled into the cockpit jump seat, making small talk with the pilots as the plane climbed southward out of Everett, Wash.
The plane reached cruising altitude and crossed into Oregon on its way to San Francisco. But Mr. Emerson appeared to grow agitated, throwing off his headset, the other pilots told the authorities later. “I’m not OK,” he told them.
Mr. Emerson suddenly reached up and yanked the plane’s two fire-suppression handles — designed to cut the fuel supply and shut down both engines. The pilots snatched his wrists, wrestling his hands away in a frantic attempt to avert disaster. They radioed that the flight needed to make an emergency diversion to Portland.
In his first interview since the Oct. 22 incident, Mr. Emerson painted a terrifying picture of the hourlong flight, one where he was overcome with a growing conviction that he was only imagining the journey and needed to take drastic action to bring the dream to an end.
“I thought it would stop both engines, the plane would start to head towards a crash, and I would wake up,” he said, speaking in a cramped visitation room at the county jail in Portland, where he was being held without bail. Upon landing, police officers took Mr. Emerson, 44, into custody, and Multnomah County prosecutors charged him with 83 counts of attempted murder — one for every passenger and crew member he was accused of trying to kill. Separately, federal prosecutors accused him of interfering with a flight crew.
Mr. Emerson’s account of what happened during the flight is corroborated in its key details by what flight attendants and pilots told the police, as well as text messages and his wife’s description of her conversations with her husband both before and after the flight. Prosecutors did not discuss the case beyond the charging documents.
Mr. Emerson, who has pleaded not guilty, said he had no intention of hurting anyone that day. Instead, he said, he was desperate to awaken from a hallucinogenic state that had consumed him since taking psychedelic mushrooms two days earlier, during a weekend getaway with friends to commemorate the death of his best friend. It was a loss that had plunged him into deep grief and triggered a search for help with what he realized were longstanding mental health issues.
For decades, the Federal Aviation Administration has grounded pilots dealing with depression or other mental diagnoses, with policies so strict that the decision to seek psychiatric help or a prescription for standard antidepressant medication is enough to trigger a suspension of their flight eligibility. It is a system that has left many pilots, including Mr. Emerson, to struggle largely alone.
“A lot of us aren’t as forthcoming as we otherwise would be,” Mr. Emerson said.
‘I can’t diagnose you’
As a child, Mr. Emerson had such a deep fascination with airplanes that his friend’s father helped organize an introductory flight for him in fifth grade. The instructor flew over Mr. Emerson’s house, and by the time they were back on the ground, the boy knew what his future would be.
Over the next few years, Mr. Emerson said, he saved up money for flying lessons, placing ads in the local newspaper in Cheney, Wash., to drum up lawn-mowing jobs. He began flight training just before he turned 15 and got his license at 17.
After college, Mr. Emerson began working as a commercial pilot, moving through jobs at Alaska’s partner carrier, Horizon Air, then Virgin Airlines, which Alaska later acquired. He developed a reputation among colleagues as a calm, levelheaded presence in the cockpit. To passengers, he often had this message: “Be excellent to each other.”
His wife, Sarah Stretch, said he was the same way with their family. Every night he was home, he read to their two children, she said. He coached their younger son’s baseball team.
“He’s the most caring and gentle person,” she said.
He worried about being away so frequently, and by 2015, Mr. Emerson was tapped to begin working as an instructor, allowing him to stay closer to home.
But in 2018, his life was jolted by the sudden death of his closest friend, Scott Pinney, who had been best man at his wedding. He died while jogging during a work trip to Hawaii. Mr. Emerson helped bring his body home and has worn a necklace containing his friend’s ashes ever since.
Mr. Emerson had been through counseling in the past, he said, beginning in childhood to help deal with brutal teasing at school, and later as a way to better himself and his marriage. But Mr. Pinney’s death left him dealing with what his therapist said looked like depression.
“She’s the first one who said, ‘You know, I can’t diagnose you, but would you ever consider seeing a doctor who could diagnose you and possibly get on an antidepressant?’” Mr. Emerson said. He did some research and learned that taking any medication would most likely ground him from flying for a prolonged period of time.
For decades, the F.A.A. banned pilots with depression from flying and prohibited them from using prescription treatments, even common antidepressants, hoping to avoid suicide attempts or other mental breakdowns in the cockpit. Pilots undergo regular medical assessments in which they must disclose to the F.A.A. a range of medical diagnoses, including depression or anxiety, and document the health professionals they have consulted.
Such a strict system led many pilots to avoid both consultation and treatment. Acknowledging the stigma created by those rules, the F.A.A. in 2010 moved to approve certain antidepressants for use by pilots with mild or moderate depression. Pilots who choose to go on the medication are nonetheless prohibited from flying for months during a monitoring period, and the process of winning approval to go back to active flying can take even longer. Even then, they may not win approval to fly.
The potential effect on careers, according to aviation doctors, industry lawyers and pilots, has prompted many aviators to either lie about the treatment they are receiving — risking a punishment of five years in prison and a $250,000 fine — or simply avoid treatment.
On Thursday, the F.A.A. said it was establishing a committee on pilot mental health to look at “breaking down the barriers that prevent pilots from reporting mental health issues to the agency.” It said it was already hiring more mental health professionals to decrease “return-to-fly” wait times and incorporating research that allows for less-frequent testing of pilots using antidepressants.
Mr. Emerson said he had previously decided not to seek out a doctor’s examination or possible medication, and instead pursued alternative help on his own. That included a treatment that attempted to relieve trauma by revisiting painful memories.
And while he did not consider himself an alcoholic, he said he often self-medicated by drinking — though not to the point that it jeopardized his ability to fly. Pilots are prohibited from consuming alcohol within eight hours of flying and occasionally face random testing.
Alaska Airlines said that Mr. Emerson completed his medical certifications throughout his career “and at no point were his certifications denied, suspended or revoked.” In an email on Thursday, the company said that “more can be done” to support pilot mental health.
‘Am I dead?’
Over the past year, work grew more demanding. Mr. Emerson was shifting from Airbus planes to Boeing aircraft, a big learning curve. He took on the role of safety representative for Alaska’s San Francisco-based crew, charged with increasing the reporting of safety problems. The Boeing training kept him away from home for much of the summer, just as he and his wife were navigating health issues one of their children was having.
Then in October, he and several friends gathered on a remote property in Washington’s scenic Methow Valley to honor Mr. Pinney’s life — a memorial getaway they had also done the year before.
During a night of sipping on whiskeys and beers, someone had the idea of taking psychedelic mushrooms. Mr. Emerson had never tried them; he…