Mental Health and Security Clearances: Breaking the Stigma

Last Updated: Janury 17, 2026

a guide explaining how mental health treatment affects Guideline I security clearance adjudications

For years, a myth has persisted that seeking mental health treatment will automatically result in the denial or revocation of a security clearance. In 2026, the reality is the exact opposite: Seeking help is a sign of reliability and judgment.

Understanding Adjudicative Guideline I

Under Adjudicative Guideline I (Psychological Conditions), the government evaluates whether an individual has a condition that could impair their judgment, reliability, or ability to protect classified information.

It is important to note that mental health treatment itself is not a disqualifier. The DCSA and DoD favor those who recognize a problem and take proactive steps to address it.

When Does Mental Health Become a Concern?

A security clearance is generally only at risk if:
1. There is a refusal to follow treatment or medication regimens.
2. The condition results in impaired judgment or high-risk behaviors (like Guideline H drug misuse).
3. The applicant fails to be honest on Question 21 of the SF-86.
4. A licensed professional determines the condition is currently unmanageable in a high-security environment.

Question 21: To Disclose or Not?

The SF-86 has been updated to focus only on conditions that truly impact functional judgment. Routine counseling for marriage, grief, or PTSD related to military service often does not even need to be reported under current guidelines.

If you are unsure how to answer Question 21, consulting a security clearance attorney is vital. Dishonesty (Guideline E) is a far more common cause for denial than mental health (Guideline I). It is less likely for an applicant to get their security clearance if they seek help and follow the recommendations provided by a medical professional.

Are you facing a security clearance matter?  Contact the Law Office of Asya Hogue, Esq., at asya@ahatlaw.com or (904) 884-5891. 

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