Having a condition that makes you look like someone you’re not when it flares up is a particular kind of cruelty. Selma Blair has spent the majority of her adult life managing that circumstance, first in private, then in public, and now in a Queens courtroom.
Blair was ejected from a Delta Airlines flight on October 11 following an altercation that, depending on the version you read, included biting one flight attendant, punching another, and allegedly attempting to open the aircraft door in midair. She was arrested by dusk. By morning, her identity had been established by the headlines. What was going on inside her nervous system was something they hadn’t quite figured out or bothered to inquire about.

A few days later, her publicist released a statement. It stated that Blair had had a medical emergency. She still has multiple sclerosis. Additionally, she suffers from pseudobulbar affect, a disorder that develops in conjunction with neurological damage and can cause abrupt, uncontrollable emotional outbursts, such as crying, laughing, or rage that have no consistent relationship to the person’s true feelings at the time. She entered a not guilty plea. Her team claimed that the more complete picture had been “built almost entirely on a police statement and a decade-old headline.”
Before this week, the majority of people might not have heard of pseudobulbar affect. That is not out of the ordinary. Blair revealed in 2018 that even MS had gone undiagnosed in her own body for decades, misinterpreted by medical professionals and mistakenly linked to anxiety, depression, and the nebulous category of female emotionality.
She has talked about going to specialists since she was a young child. The weariness persisted. The symptoms are genuine. Even so, it took years for the answers to come. Blair has discussed this well-documented pattern of dismissal, especially for women who present with neurological symptoms, with a clarity that can be unsettling.
People were moved by the 2018 Instagram post that disclosed her MS diagnosis because it was so open and honest. She wrote about struggling with depression, alcoholism, and postpartum depression. She didn’t soften it or present it as motivational. Blair seems to have never been interested in the illness-as-triumph story.
Although she declared remission in 2021, her team took care to clarify in this week’s statement that remission does not equate to healing. She “still has bad days.” That isn’t a boardroom-written legal defense. That is a fact of medicine.
It’s also important to note that this is not her first plane incident. She was escorted off a flight from Cancún in 2016 following a noisy, upsetting incident that she subsequently claimed was caused by combining alcohol and medication.
She expressed her sincere regret. She told the truth about what had transpired. It’s also difficult to ignore the fact that both incidents took place in situations where neurological stress, such as exhaustion, cabin pressure, and spatial disorientation, can exacerbate symptoms that are already challenging to control on a typical day.
The legal issues are not resolved by any of this, and they probably shouldn’t be. Regardless of the reason, assaults against flight attendants and nurses are unacceptable. However, the more complete account of Selma Blair’s neurological background and mental illness makes the simple outrage seem less satisfying and perhaps even unfair.
PBA is not well known. MS is not well known. The tabloid tendency to turn the complex relationship between neurological disorders, public behavior, and chronic illness into a scandal has a subtle negative effect: it makes the next person with an invisible condition a little more reluctant to disclose their condition.
It’s unclear what will happen in the courts going forward. Blair is 54 years old, still employed, and dealing with a chronic illness that has no known cure. As this is happening, it’s hard not to wonder how many similar stories—people experiencing medical emergencies who are misinterpreted as threats and handled by systems meant for issues that don’t resemble theirs—go unreported.
FAQs
Q1: What mental health and neurological conditions does Selma Blair have?
She lives with multiple sclerosis, pseudobulbar affect, and has battled anxiety and depression.
Q2: What is pseudobulbar affect and how does it affect her?
It causes sudden, uncontrollable emotional outbursts that don’t reflect how she actually feels.
Q3: Why was Selma Blair arrested in October 2026?
She allegedly assaulted flight attendants, a police officer, and a nurse on a Delta flight.
Q4: When did Selma Blair first publicly reveal her MS diagnosis?
She disclosed it in 2018 through a personal Instagram post.
Q5: Has Selma Blair ever had a similar public incident before?
Yes — a 2016 flight incident she blamed on mixing alcohol with prescription medication.

