This can be and is a major problem with some pilots come medical time. 
If diagnosed with it, I've been reading on the AOPA medical forum that
medicals can be denied and re-instated only after going through some
expensive testing.  I don't know why a pilot would even mention it to an
AME, but when they do it opens up a big can of worms.  It's very flying
related.  

Mike
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