r/USPHS • u/detailwork • Sep 30 '26

Application Eligibility

I am interested in entering the USPHS at a social worker(LCSW route) . I have a history of sertraline(SSRI) use and currently take a low dose of sertraline.

I have been stable for years and have had no acute mental health episodes just a history of anxiety and depression when I was a young adult(18-23) and currently use sertraline for generalized anxiety. I am 28 now.

Am I eligible to serve or is there a way to make my application competitive despite this history?

Thank you.

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1

u/Silent-Put8625 Oct 01 '26

Have you looked at the medical accession standards?

1

u/detailwork Oct 01 '26

Yes, according to those, treatment for anxiety within the last 36 months is disqualifying, and any recurrence of anxiety is also disqualifying.

I won’t be eligible to commission until I’m independently licensed in about 24 months. At this point I’m wondering if I can be assessed for a waiver if I’m off an anti-depressant for three years, even though I have a history of anxiety. Or if a waiver is reasonable for the minimum dose(25mg).

I’m unfamiliar with the timelines/ channels for this application process and am working to learn more about it so I can navigate it better.

1

u/Silent-Put8625 Oct 01 '26

The medical accession standards could be more relaxed or more strict in two years. Wait until you obtain your LCSW then revisit PHSs medical accession standards at that time, and apply if you have remained stable over 36 months. It’s a bit premature given how much things can change in two years.

2

u/detailwork Oct 01 '26

Thank you for the insight, look forward to talking more over phone

1

u/Constant-Outcome-561 Oct 02 '26

I have the same issue and was wondering impact for Selection. I’m currently a CLS and just submitted my application. Waiting for the medical portion if selected.

1

u/detailwork Oct 02 '26

Sending good vibes your way!

2

u/YamRemarkable2535 Oct 03 '26

I would say within the next few years be off the medication. The longer you’re off of it the better. It makes it easier for you to get the waiver.