Nice post Donna. Thought provoking to put it mildly.
In a round about way I think I can relate to your patient. Years ago I fell almost forty feet from the tip of a tall pine. I wont detail 'the flight', suffice it to say, it impacted me in many ways .
Your patient recommended taking flight more in a symbolic form. But perhaps, just perhaps theres more paralells to my real flight and your patients mind flight...
Just a thought. Here's a salute to all flyers...
Oh, I hope your patient has found some peace, meds or no meds.