<video>
<audio>
My battalion was deployed to go to Vietnam right after the Tet Offensive. I was wounded in a landmine explosion that killed my buddy next to me. That took a toll on me, wondering, you know, why I didn't die in the blast. Why did I survive? You know, why did my buddy get killed? We would lose someone, and it would be a terrible event. But once I was the squad leader, it seemed to be my fault. With everything that happened over there, I camouflaged all that stuff and just buried it, you know what I mean? The feelings, I mean, I became numb. I didn't speak to anybody about it, not even my wife or my kids. I didn't want anybody to know because I was ashamed. I had these dreams of flying in helicopters and crashing in combat. Those were some of the, kind of the nightmares that I experienced. I was suffering inside. It was just... shaking, sweating at night. I would wake up with a start, sit up and drenched in sweat, trembling, frightened like a big firefight had just happened. And no...I don't know why. I would drink heavily, and then I would get in some kind of fight or barroom brawl. And I got that reputation of this Vietnam veteran that you never knew what he was going to do. My kids told me that, Dad, you need to go get some help. We all noticed that you was always looking out the window, or you were always checking the doors of the house, or you were always walking around like a perimeter, you know? Just...they noticed all that, you know? And they knew my temper was pretty high, too. And so...so I finally went to the VA down here in La Jolla. And I said, I really...I really need help bad. I had this pamphlet, and it had every symptom of ptsd all listed in a row. Every one of them was me. I went to the VA down on 23rd Street and 1st Avenue in Manhattan. My psychiatrist was treating me. Really helped me through a lot of the issues. Just talking about my...you know, what my feelings were, how I can deal with them better. So I go to this psychologist. He connected me with an alcohol and drug counselor, and I got involved in a self-help group. I was able to say things in a way that didn't trigger my ptsd, but told what was going on. I think the group sessions were... were great. We could open up and not be scared to show our feelings, you know, because we knew, you know, our brothers understood us, you know? And that's where the healing came from. From that time on, my life has been getting continually better. If it wasn't for the VA, I have to say, you know, I wouldn't be in the place that I am today. The past, you can't change that past. You know? It's the future you have to look forward to. Find, you know, what's available out there. Everyone's different. Try everything, because something will click with you.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Curtis Thompson. I was a specialist fourth class in the Army, and I served in Vietnam. I actually had more than one MOS. My most important MOS and the final one was as an oral hygienist. I think the numbers have changed a little now, but I wore scrubs. It was a little unusual that I also worked in the field and was part-time combat medic. The person that I saw for many years who provided medications when I needed them and sympathetically agreed that I should stop taking them when the side effects were unacceptable, retired from the VA, and the last time we met, I thanked him, and I was able to tell him that but for the connection I was able. The first time I was able to make with him, which was the first and the only time I was able to make a connection and continue treatment, was very likely the reason I was there that day to be able to say thank you. But for that, I couldn't be sure that I could have endured and that I wouldn't have committed suicide. The trauma. Of war, of not knowing whether the next step you make is your last, or when you close your eyes, whether or not you'll wake up, changes your body through chemistry, and it creates an attraction. I think my words, an addiction to the adrenaline of fear, and the fear of chaos, war, part of what I think is just beginning to be addressed, that's common throughout all wars for civilians and soldiers, is the mystery of some of the chemistry of the body that makes the persistence of the fear, the adrenaline flow, both addictive and harmful. Simultaneously. And I think that's part of why it's so difficult to deal with. It isn't just take a pill and it goes away. It isn't just tell yourself it doesn't exist. You can't just believe it doesn't exist. It gets embedded in your body in ways that we just can't simply adjust to without putting some effort into it. And part of that effort, the most important step, is simply recognizing that it is what it is, and you're... not unique. Human beings have been experiencing this for millennia. We only in the last few decades have come up with a name for it. Unknown places. Time zone changes that affect my sleep, which is not good, can be very, very bad. An extremely unpleasant event took place on a work assignment where I flew to the Midwest. Week after week and then on to the East Coast and back to the West Coast. And so I was running on sleep deprivation. And one evening in a strange place, which is very difficult for me to adjust to to this day, at about two o'clock in the morning, I awoke to loud screaming voices in Vietnamese. I didn't sleep anymore that night. It was just casual laborers who worked at the hotel having an argument outside the window near my room. But between that and the hot smell of the parking lot that was the same material as the tarmac at the airports in Vietnam, I... I simply had to go. We were in the middle of the night. I go in and excuse myself from my assignments. And it unfortunately was not something my employer understood at all. I'm hoping things are a little better and people are a little better educated. Frankly, the combination of the travel, the sleep deprivation and then the other things that I should have sought and received accommodation for as a job, as an American Disabilities Act accommodation, which I later did. And the company yielded and life was a little better. It was another learning experience. ptsd was such a significant factor even though no one around me at the time knew it and I didn't know it, don't think the term had been invented yet. But the impact on me was so severe that at the age of 23 or 24, I decided that I couldn't handle bringing any children into the world. And so I elected to have a vasectomy. And so no children. I am one of those veterans who haven't learned how to not drive combat mode, to drive defensive mode instead of combat mode. I get very, very upset to this day if I get pinned in in traffic and there are no people around me. There are no options, no easy exits. One of my recent discoveries is that it wasn't just my choice to serve my country, to wear the uniform. Everyone who's close to me also serves, also pays a price. And so my ptsd affects people. I would never want to be adversely affected by my behavior or things that I insist I need to maintain my comfort level. I know I'm not the only veteran who has either avoided entirely or postponing or postponed going to the Veterans Administration for help because I'm not the only veteran. And so the guards areStarting because it's so close emotionally, in my mind it is so quasi-military, that regardless of their intent or how they try to look or behave in my mind at a level beyond my ability to wish it away, it feels like backing the Army. They may be slow. There may be some people who are incompetent and capable of failing. There are those mocking the military. Others, they are. to worried or just struggling. Aliens do not have a donnella card. Do they protect. Put the resident as as a BC 1�. or maybe even ill-willed like there are in any large organizations. But I've also met some stellar people. I've received, in some cases, outstanding treatment as good or better than I've received anywhere else. So it doesn't have to be the severe decades-delayed battle that I went through. One of the really helpful things that came from my first 16-week course on ptsd, right after I learned that I had ptsd, had to do with smells. And my issue with my symptoms were that I had no explanation, and feeling sort of like I was crazy because I might start out a really beautiful, rare smell. And I would go out on a sunny day in my part of the country and get in the car to go to work or go to school. And a transition would happen that was just a mystery to me, and my mood would sink really deep, just be in a huge funk. And it might last two or three days. And many times this would happen. And then I learned that even though I was in a very, even though I knew I didn't like driving behind buses that were running diesel engines, that it was more than just not liking them. That was a trigger that I didn't recognize, but the smell of unburned fumes of diesel in hot weather was what I smelled day after day, hour after hour in Vietnam, because that's how you dispose of human waste. You put it in barrels and you burn it. There are no sewer systems, no septic systems. And it took me a long time and help from someone else in that group to make that connection. Even though the smell was almost identical or identical to what I'd experienced that became a trigger, I didn't on my own recognize it because the beautiful greenery, the driving across the bridge on the lake, in my own car, all of those things were so not Vietnam that just the odor from Vietnam just didn't seem like it could possibly be the cause of what was happening to me. And yet I was feeling like I was just crazy or broken in a way that was unexplainable. Turns out it was explainable. And I still don't like the smell of, I don't like the smell of buses in any weather. But now I don't go into two or three day funks over it. I just get a little pissed off about the whole thing and wish they'd burned better fuel and more efficiently in buses. I came home to hopefully a very different situation than most people are coming home to now. And that when I returned to my job, no one wanted to have lunch in my vicinity. No one wanted to have lunch in my vicinity. No one wanted to get to know me or talk to me. And the isolation, the loneliness was so severe that it clouded my judgment. I got involved with a woman and got married to someone whom I would hope I wouldn't have done if I'd had a clear head and hadn't been, been so emotionally shut down and unable to really interact at an emotional level and then realized that this was a person who probably shouldn't have been married to anyone, but it's certainly a person I shouldn't have been married to. The first time I really heard it and that I decided that it might apply to me, that is the diagnosis of ptsd, was an unintended casual event where I was invited to join my wife and a colleague of hers for dinner. It turns out he also was a psychologist, as my wife is. And when we entered the restaurant for dinner, I did the thing I always do, have done, still do, which was I picked the table and the chair that I could comfortably sit in and eat dinner with friends. With my back to the wall in the corner with a full view of all windows and doors. Somewhere about 10 minutes or so into conversation, this friend of my wife's, psychologist, said, and you have ptsd? And that was it, that was the first time. One of the symptoms that is addressed with this therapy is, persistent, re-editive thinking about something. That's distracting you as well as probably pretty unpleasant. And with the mindfulness, teaching a person to focus on another matter. Something that comes from some of the meditation philosophies. Or even religions. So, you might experience in mindfulness, being asked to eat a raisin or a piece of candy. But instead of chewing it and swallowing it in three seconds, this might take five or ten minutes. And you might be coached into focusing on very tiny details about how that's happening. In my mind, that practice is the opposite of what we learn to do in combat situations where we force ourselves to not feel an itch, to not recognize a scratch, to barely understand hunger or thirst. Because those distractions away from what we perceive as danger might be lethal. It's not only, never too late to get help with ptsd. It's never too late to discover the trigger that you hadn't ever seen or heard before. And I had a really marvelous, successful chance to help a friend of a friend, a man I'd never met, who was a career person. And my good friend, another career person in the Army, who knew I had ptsd and that I'd been working my way through it for years, called me up and said, you know, I've got a friend, and he's having a horrible time. He can't sleep, and named him a few other symptoms. And said, can you help him? So I said, sure, I'd be happy to talk to him. And I talked to the guy. I don't know his name. I don't know his rank. He was in the Army, that much I know. And everything he described to me were things I was familiar with that either were my symptoms or the other people in the other groups that I'd been. Although he was really surprise that he would have ptsd at this point in his life. But the trigger in his case was his son was on orders for Afghanistan. And suddenly the ptsd he either didn't, he might say he didn't have, but surely it was there waiting to be awakened by a trigger event. He suddenly was having nightmares and explosive anger outbursts and withdrawing from people, many, many of the severe symptoms of ptsd. I recently, a year and a half after all of this, or so, asked my friend, well, how's your friend doing, the guy that I was trying to get help with ptsd? And the answer came back with a great big smile. Oh, he's doing great, fantastic. He got what he needed for help, and it's working for him.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
I'm John. I'm 64 years old. I joined the United States Army in 1966 and went in service in 67 January. The shock of being out in the bush or the jungle all the time was a real jolt to all of us. While I was on leave I fractured my skull and had spinal fluid draining out so I left the service. I suppose that one of the biggest challenges was dealing with civilians. When you're used to dealing with a brotherhood that was a a bond that you just couldn't create with civilians and the country was still torn radically by the war. So it made us really cautious when we re-entered society. I'd get frustrated if something didn't go right. Just the stupidest thing. It created a sense of anguish and clenching of the teeth and not understanding anything. I don't know how much I've learned now that I'm in the military. And I'm very happy I'm in this army. I've learned a lot. It's a good opportunity to you know, why this is all taking place. I mean, normally you'd think it wouldn't bother you. And the nightmares. They started about six months after I got out and got progressively worse. I completed school and went to work, became an undercover operative and did some work for the government. I actively looked for that avenue where the adrenaline pump was continuous and carried a weapon. My relationships with people were superficial at best. I saw myself on a road of deterioration. And finally, I'd ruined not just my life, but my family's life. I'd ruined not just my marriage, but I'd ruined some friendships, you know, with people that I liked, all because of outburst or rage or, you know, temper. And so it was 1983 when I first drove to the Vet Center up in North Tampa. Pulled in the parking lot, sat there for 45 minutes and couldn't go in. And so about four months later, I went back because things were just, everything was coming apart. And I went in and I talked to them, told them about my problems, told them about the drug problem, talked to them about the flashbacks. I was reluctant. It was difficult for me to talk about problems. That was, I think, there was an element of embarrassment and I was, you know, I was just, you know, I was just, you know, I was just, you know, I was just, you know, and also the difficulty in exposing what I believed to be weaknesses. And I continued to struggle. I was getting, I was right back in the hole, contemplating suicide, struggling with the nightmares. I went. I went to a ptsd program in 2000, in 2001. It's a 90-day program. I was there for 105 days. I went through every conceivable type of, and believe me, it's an excellent program. If you have too much time on your hands and you find your, you know, you're not able to do it, you're not able to get your mind to work, you're not able to do the things that you're supposed to do, you're not able to get your mind to work, and you start to find yourself becoming irritated and anger because you don't understand what's going on in your brain. Make a point to get help. Just start the process. Be willing to put your pride aside and say, I need help. I'm not doing well. Just get out there and get the help you need, and do something. It's going to be a hard time. with your life.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Sherry. I served in the Army from 1985 until 2009. I was at Vance Party, so when we first got to Iraq, the warrant officer and I, we were in a convoy. And just as we were entering the FOB, a land mine went off. And so I got out the vehicle. At the time, I didn't know, I didn't realize that I was dazed. And I fell full front on the ground. You don't know if you're going to be okay from one minute to the next because you don't know when the FOB is going to be attacked. So you're kind of always in attack mode, you know. I was in charge of a group of soldiers there, so I also had the stress of making sure that my decisions did not put their lives in danger. I was a senior noncommissioned officer. And I worked for a sergeant major. And every day, he'd say something to me, corner me, just inappropriate behavior. And I really didn't say anything because when you complain as a woman in the service, people think that you're a troublemaker. You start to become, you get labels. And, you know, I didn't realize then that because of what happened would lead to trigger other things that happened to me once I got home. I got back and found myself standing in my bedroom, all dark. TV screen on, curtains closed. I would interact with my daughter, but I knew something was wrong. As much as I loved her, I wasn't really the same. And I couldn't really show her how much I loved her, even though in my head I knew. And so the days went on, the months went on. My stomach was in knots. I didn't really understand that I was suffering from ptsd. I couldn't really talk to anybody because I was a Master Sergeant, E-8. I was still in charge, still stressful. And if you thought that something was wrong with you mentally, there was still a stigma that if you went to get help, you were probably weak. So I didn't say anything. I got back in February 2005, and it took me from February to October where I just knew I couldn't take it anymore. And I scheduled an appointment for myself, not at my local clinic, but at a place called Wurzburg, which was a little over an hour away. And I would go to the mental health counselor. And when I first went, I didn't really even think that I still had an illness. I thought I just needed somebody to talk to. The first time I went, I just broke down. And I knew something then was really wrong. And so I went, and I saw a counselor from 2005 all the way up until I got out of the military in 2009. What I got out of it was that it's okay, first of all, to know that you went to war and the war affected you. I didn't have to be so poor or strong. I don't think I would have lasted those years left in me. I was in the military without mental health. Since I've been out of the service, going to the clinics in Germany were helpful as well. Now that I'm here in the States, a whole new world has opened up with going to VA. I went just for a general appointment. I found out, as well as having ptsd, that some of the sexual abuse that I had, or harassment I encountered, how much it impacted me. I didn't even realize I harbored those feelings inside for so many years. So, the programs that are available to vets, incredible. Military taught me how to be stronger, how to have faith in myself, to trust my instincts, to fight when I needed to. It taught me how to be a leader. And once I learned how to be a better leader, I learned how to be a better mother. I don't know if I would even be alive if I didn't go get help for myself. So, go get help. Life is far more worth living than not being here. I'm so glad I'm here.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Skyler. I was in the Army, active duty, six years. I think the overall experience of being in a combat zone stays with you forever. I think my vehicle got blown up directly maybe four times, and indirectly, you know, a handful of times. So I think there's like an anxiety that sticks with you about stuff like that. Getting out of the military, it's scary, you know, because you have this whole life that you learned. For me, it was six years active duty in an infantry unit. Now I have to all of a sudden go be a civilian. I didn't have any Army buddies around, so I didn't have people that I could talk to and hang out with. And I kind of felt alienated from the civilian world because I didn't share anything in common. When I got out, I didn't think that I had ptsd, you know. I almost thought like ptsd was something that people who couldn't handle the intensity of their job had. And when I got out, I didn't think that I had any issues or mental health issues that would affect me. I didn't think that I had any mental health issues that would affect me in the civilian life. I found that I was having trouble controlling my emotions sometimes, my anger, my frustrations. It was easier for me to get frustrated. And when I did get frustrated, I took it more seriously, as if something serious was going on. If I was running late to a movie, I felt like I was running late to a mission, and people's lives were at stake. But that wasn't the reality. That personality characteristic, that intensity, that drive makes you succeed in the military, but it doesn't in the civilian world. It alienates you. And I had to back off and let that go. And that was hard. It was—it took a lot of other people coming up to me and telling me, hey, I think you have ptsd, or hey, I think that you have things going on that you need to talk about or you need help with. I said, no, I don't think I have ptsd. What could I have ptsd from? And I was always thinking there has to be some specific event. I don't have a constant nightmare where I wake up and I'm reliving a specific situation. I'm not constantly bunkered down in my house behind sandbags, you know, waiting for the invading army to attack. No, I don't have any of those things going on. But there is something kind of wrong, you know. I do have this agitation, this anxiety, this hypervigilance from time to time. Maybe something's not right. So I went down to the VA, and they asked me, they said, have you ever been blown up before? Or have you ever been exposed to a blast? I said, yeah, yeah, quite a few times. And they were like, how many? And I told them, and they were like, wow, well, you probably have traumatic brain injury. They helped with my memory and concentration issues and how to regulate my mood and stuff like that. And that was a really productive experience because at one point I felt hopeless. I felt like I'm on the road to not recovering. I'm on the road. I'm on a downward spiral. I'm on a downward spiral into some abyss of, like, you know, mental disability. But working with speech pathology and TBI clinic at the VA just, I mean, they had me turned around quick. In a few months I was in school. I go to the Boulder Vet Center, but there's one, seems to be one, located within proximity of every VA hospital. My therapist was an infantry soldier. He was deployed to Vietnam twice. And speaking with him, working with him, it made me feel comfortable to talk about my stories because I knew they were familiar to him. He knew the same emotions that I knew. He had the same feelings I had. Vet centers are great because they have this group dynamics aspect where you meet all these other combat vets. And I think that requirement alone creates a little bit of brotherhood that makes me feel comfortable walking into a group because I say these guys know what I'm talking about. They know what I know. They've seen what I've seen. If I'm going to open up or feel uncomfortable or be in an awkward situation, it's not going to be awkward because they have those same feelings. And any advice they have for me is going to be beneficial. And, you know, I can take it to heart because it's coming from somebody with the same experiences. You're a civilian now. And the best way to, I think, come to peace with all of that stuff, the best way to come to terms with all of your experiences, is to talk about it, is to find other vets in the community, is to go to a local vet center down at the VA and talk about those experiences. The first thing I would say to anybody is it's not abnormal. You know, all the issues you're dealing with, you're not alone. You are not the only one. You're not weak. And the second thing I would say is go down to the VA. There's no better place to get help for a veteran than a place that is employed by veterans. Right. That is run by veterans and is designed to work around veterans. I want to be a behavioral and cognitive therapist that works with combat veterans. So I'd go from Skyler the high school dropout to, you know, staff sergeant to, you know, Skyler the rugby player to doctor. You know, and that's a path that I couldn't have even started without the VA, you know. They set you up for the road to success there.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Louie Bickford. I served in the Navy. I went in in January of 67 and I spent 12 years. I did two tours in Vietnam. I ended up as an E6 electronic tech when I got out. I'm a Native American or American Indian. They keep changing it on us. And I'm a member of the Little Shell Tribe of Chippewa. I was a side gunner on C-Sprite helicopters off the USS Hornet. We would go out and try to rescue the pilots if they were making a bombing run across North Carolina. They would try to ditch in the Gulf of Tonkin and we would try to get to them before the North Vietnamese gunboats did. No relationships. I'm on my third marriage. Most of that is because I just didn't let anybody close to me. And so after I got out of the Navy and got divorced the first time, then I spent most of the rest of my career in the Navy. I spent most of my time working two months here and three months there as a construction worker. It was easy. You worked 12, 14 hours a day, six, seven days a week. Didn't have time to think about anything. And when you're off, you're in the bar, you know, a lot of drinking, a lot of drugs. You know, you just kind of like stayed numb. And I did that for many years. So that's why I lost my second marriage. And the one thing that I remember is that I was a little bit more of a drug addict. My wife I have now, we've been together for 20, 25 years. And about five years ago after I got into treatment, she says, you know, I put up with you and I would like you. I didn't realize that it changed, but other people around you see the change. You know, I went in just to see if I could get something. You know, I was bound and determined, you know, it's going to work the system. You know, they owed me something, I'm sure. You know, I had that attitude. So I did my first ptsd interview and fortunately, Pat Noonan, who I still work with, was my intake counselor. And she is an expert at making you feel at ease. And you don't even realize you're talking about the things that are bothering you. You know, it just very gently, easily comes out in a conversation. She doesn't say, well, you know, do you have this, do you have that or whatever. You're just talking to her. Next thing you know, she's got her form all filled out. And then she kind of goes, well, you know, here's the scores and, you know, you've got these things going on and these issues going on. And, you know, and I'd like to have you come back with your wife next time and maybe we can both talk. And by the way, I'd like to set you up with an appointment with a psychiatrist because I think some, maybe some, because of your anger issues, maybe some of the medication would help that. So that was the beginning. My problem, my biggest problem was rage, uncontrollable rage. You know, I'd be sitting here talking to you, you know, maybe in a bar having a couple of beers. You'd say something, I'd snap. And I'd just like, oh, my God. And I'd almost like vomit rage in your face and just come on glued. Never got to the point that I hurt anybody, but it was always there, you know, close on the edge. I never knew what VA had available. And the real truth of it is coming back from Vietnam, there was nothing much available. They didn't know we had ptsd. They didn't know what it was. And unfortunately, and this is one hard thing I have to tell you, is that probably when you came back from Vietnam, you found out the same thing I did, VA didn't even want to talk to you. You know, you were unwelcome. Not only were we unwelcome home, when we came home, nobody wanted to talk to us. You certainly didn't tell anybody you were a veteran from Vietnam if you went for a job interview because they wouldn't hire you. You know, so. So. I guess I always knew I had a problem. But I didn't know that VA was there or that there was an answer. And there probably wasn't an answer at that time. But there is now. The VA has changed, you know, completely. It's a whole new world. There is help. They do care. They are vet friendly. In fact, yes, most of those guys in VA are us. You know, the ones working there are us. You know, they're our age. They went through it with us. You know, so it's changed completely from back in the 60s and the 70s. The reason that you may be scared to come in, right, is that, number one, you're not sure that you have ptsd. Number two, you're not sure that you want to open up those wounds. You're not sure you want to, you know, the hardest thing you're ever going to do in your life, if you decide to do this, is go through ptsd. Because you built a wall around all the hurts, all the aches, all the pains. You've learned to deal with it one way or another. You know, however, you know, we all take different ways to do it. We build walls somehow around all this pain. So what you're going to have to do is, you know, you're going to have to do it. What you're going to have to do is, just like an onion, layer by layer, you're going to have to peel that back. You're going to have to peel it all back and open up all those wounds, all those nightmares, all those flashbacks you used to have, all the stuff you came home with that scared you in the middle of the night, that made you reach for a gun, that, you know, I can remember when I came home, you know, I got up and there were hair brushed across my face and I slugged her. You know, it was just a reaction. You're just, you know, you're always on the defensive. You've learned to cope with it, or you think you have. Okay, but now we're going to go revisit all those things, and that's going to hurt, and that's going to scare you. But you've got to do it. Because, you know, it's... The example I use, you know, is, say you've got a fester on your arm, right? It's all scabbed over. Okay, so it doesn't really bother you anymore. It's just, but it's festering all the time, okay? The only way to cure that is to take that scab off and clean that wound, and you're still going to have a scar. It's never going to go away, but it won't be festering anymore. What really happens is that you... You end up talking to the psychologist, the counselor. And a lot of that is just conversation, just talking, talking things out. You know, having somebody that, in a way, is a stranger that you can talk to, you know, that's not family. You can release some of this anger, some of these issues. They do more talking, and they usually do more listening. And it's a relief valve. Oh, it's never too late to go, you know. Sooner's better. You know, if I had realized I had ptsd, if the treatment was available then, I don't even know that it was. Fact is, I know that it wasn't, actually. I've worked with vets who did go for help. And they ended up with electrical shock treatment stuff. So there was no help back then. But when help was available, the sooner the better. I mean, you know, I don't know my children. I get divorced. My daughter was 12. My son was 8. They live in New Hampshire. We see each other once in a while. Now they have their own families and their own careers. Now it's every two or three years. So... Yeah, that all could have changed. Could have been different. In the Native culture, there's always been... How do you put that? There's always been a recognition of what we call ptsd. Through the centuries, what would happen? You'd go out... Warriors would go out on a raiding party and then come back. They actually would be set aside from the rest of the people for two or three days and meditate. And the elders would talk to them and they'd do ceremonies and cleansing before they returned to their families. Because, you know, there's a difference between a warrior and fighting and the family man. And we've always known that. And we've always treated it that way. I tell a lot of the young kids who are coming home, you know, you need to talk to your elders. You need to talk to your family. You know? Yes, you need to come with me and talk to VA. Because we've got something to work with you. But because of your culture and your background and the way you're raised, you're more receptive to the cultural healing from the Native culture and the ceremonies than you would be talking to a psychiatrist or a mental health worker. Not that you shouldn't. But you should connect with them. Connect the two. They should work together. You know, the way to heal is to put those together and make them work. The ptsd will hit you hardest when you retire or you're out of work. Because you don't have that. You're not occupied all the time. You get too much time to think. And it starts crashing on you really hard. So it's bad enough when you're active and you're working all the time. But once you're not working, it's horrendously bad. You know, so it's... So, you know, how did I avoid it? I avoided it by working all the time. I avoided it by, you know, coping, you know, self-medication, they call it. Drinking, drugs, whatever, anything to numb you up. No relationships. I had, at that time, no respect for authority. So if I was on a job and I didn't like it or somebody said something to me I didn't like, I just walked off. I'd go find another one. I don't care. I actually didn't care about a lot actually. I was nervous. I don't think I was scared. One thing I did do that I would not recommend for others to do, I could recommend for other people, is like I never went to group counseling. My situation, part of it was I didn't go to group counseling because I owned a saloon and most of the people I kicked out of my saloon were in group in our small town. This was not going to work, you know. So I did one-on-one counseling. And that was very helpful.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
I'm Tom and I served in the service in the Army Air Corps in 1945 until 1948. I was going to come out and make a career and I joined the Inactive Reserves to go back in to keep my rank and time and my GI Bill. I found a good job, good money, good pay, and then they called me up in August of 1950. I had a report the first of September and I went to Korea and I was there until 1951. It was a living hell and it was tough in that infantry and the worst thing about it, you know, bodies and friends close, you lose. It makes you sick at your stomach. It's tough, but this is one of the things that when I came back it threw me. After I came home I had problems. I had nobody, I didn't know how to work them out, you know. I couldn't walk very good and I had some problems to hold my job down, you know. But I had a problem with my remembering things and that. I thought, you know, weak, I was weak, you know. Man doesn't leave things like that bothering him. And the trouble is if you keep too many things. You don't, inside you can hurt yourself. I lost my wife through death and being a widower and 34 and a half years married, it knocked me and I didn't know what to do, you know. I drank too much. I took the pills and I drank, took the pills and I dropped the pills and then I had to go into a detox. I was in a coma. I was in a coma. I was in a coma. I was in a coma. In my last soaking I took the D-cz将 to the clinic for chemo. It was mean the treatment from the doctor. told me I had post-traumatic stress and I what's that you know next told me what it was and after associating with the guys my buddies up there who had the same problem I understood my problem I went to a psychiatrist and told me what to do you know talk to me and the best thing for me even today when I go up and I spend the time with my buddies up there and we're all in the same boat we serve together I see them it's like a shot of adrenaline we can talk we can we can say things our whole life if we kept inside and we can tell each other and we we understand each other you know and everything's between us it stays in that room don't wait wait until you're 70 80 years old and find out what you know and I think that's what I learned and I think that's what I learned and I think that's what I learned and I think that's what I learned and I think that's what you had what you have to do look you what you had what you have to do look you
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Father Bob and I'm former United States Marine Corps. I served in Vietnam in 1965 and 1966, part of 67. I ended up at 1st Recon Battalion in the beautiful area called Chu Lai. We experienced some very, very difficult things. Everything that was taught to you so that you can be a protector of the personnel underneath you. And sometimes that's possible to be done and other times it just isn't. My first experience with combat fatigue, whatever it was because it was ill-defined, in fact it was not defined, was going to my parents' place and visiting them and it was over the 4th of July weekend. And firecrackers went off and I happened to be resting. And the air was so cold. I first thought that when I gained consciousness, frankly, I was screaming incoming, incoming, and having my hands over my neck, face down. And that trauma type, those triggers, stayed with me for 35 years. Nothing was understood. So you had to suck up and just cope with what you had, thinking, there's something wrong with you personally. I sought ways to obliterate or mask this angst, the sweats, the screaming, to the point that my wife had to sleep in another room. I tried to mask it with a drink. And in retrospect, I'll say that I was a functioning alcoholic. My first contact, and serious contact, with reaching out was with the Vet Center. My oh my. There was a counselor there and he kind of took me under his wing. We chatted for a number of sessions, a number of sessions as I was progressing. So part of the process in going through this was, of course, an evaluation, physically as well as mentally. And it was determined that I did indeed suffer from this thing called ptsd. And for the longest time I had trouble with that acronym because I just didn't, I guess, want to accept it. It took some years for things to start coming out. A few sessions my wife attended. And she vocalized her problem with my drinking. That's when it really struck me that, hey, wait a minute. Look who you're hurting. We've had a better marriage since that reality struck home than we've had since the week after we were married. So it's been a very humbling experience. And over the course of time, I was able to dissipate the sweats. I was able to dissipate the screaming nightmares. I was able to dissipate the, to some degree, the shock that comes with loud triggers. So the counseling helped in a very, very major way. But it was a combination of the counseling and the medications. The counseling, gave me a better strength of character for myself. Made me feel better about myself. And in many respects, engaged me to reach out to others. People are starting to realize they're not alone. And I don't mean not alone alone, but not alone in this phenomenon happening to them. There are others that are just, just in the same situation as they. There are organizations that are there to help. There are people there that want to help.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Leonardo Vince Bryant. I was named after Leonardo da Vinci. I go by Vince, former US Marine, also a sergeant of Marines. Did eight years in the Marine Corps. I was deployed twice in Iraq, western Al-Anbar province twice, and also did a mission in the Horn of Africa, Nairobi. I worried about being ambushed. For some reason I couldn't leave Iraq where Iraq was. Everywhere I go I'm setting up a perimeter. I'm looking at this, I'm looking at that, I'm hearing sounds, I'm hearing different, you know, things that I'm hearing. I'm hearing different things that I'm hearing. I'm hearing things that I'm hearing. I'm hearing things that I'm hearing. I'm hearing happen that would automatically take me right back to a patrol, or being out, outside like we say in the military, outside the wire. So that caused a lot of isolation. Long as I can control my little area, then I'm fine. But outside of that box, I'm vulnerable. Certain things that used to trigger me off were smells. I now go to restaurants, but prior to that, I wasn't going to restaurants. I was isolating in my room, and one day when I figured out, hey, I need to go get something to eat or I'm going to starve, I went out and I wanted to go to the restaurant that I normally go to, and I couldn't go. I sat out in the parking lot contemplating if I'm going to go in, and sure enough, I got a whiff of a smell that reminded me of Iraq. And I just left and went to a drive-thru. That way I wouldn't have to go inside of a restaurant. We take on a certain type of military mindset in the Marine Corps, so if they found out or you're going through treatment, okay, he's nothing now. He's giving up. He's wussing out. So I never wanted that title because I was always a squared-away Marine. But squared away ain't always good when you're dealing with issues of that type. What happened was people started leaving from around me. They stopped trying to associate with me. I'm like, I mean, what's the big problem? I mean, which kind of attributed to probably the isolation. Now that they're leaving, now this is another reason for me to isolate in my room because I don't have a reason to go out. I don't have any friends. I done ran everybody off. My family, they are tiptoeing before they say anything to me. They're watching what they say, unlike how they were prior to me going into combat. It made me feel worthless, to be honest with you. It really made me feel worthless. Here I am. I'm the ideal parent, the ideal example. And now I can't reach out to my children based upon what I've experienced. Let me just put it that way. You know, and another thing, too, I mean, my children were all I have. I mean, at that point, everybody else is already gone. Leave them alone. But my children. My children was like my last bit of love. My last little bit of hope that I had. There was an incident where my mother wouldn't allow me to see my daughter. And I want to touch a little bit on that. Not allow me, but she would shelter my children prior to them actually coming to me. Hey, don't do that. Because that would trigger your dad off. Watch this. Be careful. So I'm seeing this. I'm like, these are my children. Which, after feeling, you know, something like that, I really, you know, it's like a wake-up call. Maybe I do need to go get help. You know, it ain't nothing like mama. And mama, she would tell you, you know, Hey, I'm seeing things. I'm seeing things. You know, so. That's one major incident that I remember. My first round of CPT. I would listen to just the instructors. And I would definitely pay attention to them. But I wouldn't do the homework. So the second round of CPT is when I actually took it serious. And once I. Took it serious. And I start seeing, you know, me changing. The instructor would always tell us, those who would do the homework will reap the benefits. And sure enough, I took that advice on the second round. And started reaping the benefits. And my thinking started changing. My life started changing. I couldn't keep a relationship. I've actually been through three relationships up to this point since I've been back. The second time. I've done two tours in Iraq. But the second time. I've been through three relationships. And it has a lot to do with a trust issue. It has a lot. I guess you would say getting close to someone and actually losing them. I mean, the root of that comes from losing soldiers and sailors, Marines, who I actually served with. So that's where that comes from. So it kind of bleeds. And I'm not saying I'm losing to a relationship, which is why I couldn't keep a relationship. Because I'm thinking I might lose that person too. My daughters, based upon what my mother kind of told them, hey, be careful. Now they're not like that. They just run to me anytime. And I would notice at times where they were reluctant or sketchy on, you know, hugging me. But now it's not an issue. They see a change. They see, hey, daddy is still daddy. And we can hug him whenever. And we can come to him. We can talk to him. We can sit down. I'm also a single parent of an 18-year-old. So she sees, you know, that my father is different. He did something. We don't know what it is, but he's done something to better his life and to strengthen his relationship with his children. That's one of the most awesome feelings for a man to know that he still has access to his children. He still can be loved in spite of what he done in combat. He's still loved by his family. CBT changed those thoughts. For example, if I'm walking down the hall, and I can use this example because this was definitely me. I walk down the hall and I will see someone. I'm walking on the other side of the hall. Whether I know the person or not, if I greet you and say hello, you don't say anything back. Now, here I am assuming, well, this guy got something against me. What did I do to him? Why are you being disrespectful? Through CPT, now that I look at it from different eyes, let's take, for example, that person may. Couldn't hear. Now, here I am assuming this person disrespected me. So, CPT just caused me to think in a different manner. Later on, I actually met that same person that didn't speak to me. Come to find out, he was deaf. So, CPT causes you to think and look at the full picture, the full scope. Prior to CPT. I mean, it was like, just whatever. Stay away from me. Don't say anything. Get out of my space. Now, for me, it's funny just to even talk about it now, for me to be the old me, courteous, respectful. I finally got back the old me of respecting people. Not thinking that everybody is against me. There's two reasons why I didn't get help right away. The first reason, because I was still in Iraq, even though I was back in Houston, Texas. I was still in Iraq. The second reason, because I felt that civilians were the ones that was wrong. There's nothing wrong with me. I'm a decorated Marine. I'm squared away, never had any issues in the military. So everybody else was wrong instead of me. So basically, it was my mindset, the mindset that I took on at that time. I know what you're going through because I've been through it. You know me, Sergeant Brian. I'm not going to sell you anything that I have not been through. I know it works. I believe it works. Look at me. You remember how I was. Stone-faced, always wanted to fight at the bars. Picking fights. Couldn't go home. Well, I'm seeing the same thing in you. I don't want you to go down the same road that I went through. Because, you know, you might not make it like I did. I want you to try this program. I really want you to try it, not just because I'm saying it, but because this is something that can help you along with your family. And as we was always taught, simplified, we say that, but this is a good time for you to live. Think of that. Simplify. Always faithful. Always faithful. Be faithful to yourself by getting some help. Children laughing was a big deal for me because it reminded me, when we were on patrol, you would always have the children run out of the areas that they were in, asking, you know, the soldiers and Marines for things, and it would remind me of, you know, the experience of being overseas. In country. What made me a boy was, personally, my children. When I hear them laughing loud, when I hear them talking loud, loud noises, let me just put it that way, loud noises from children laughing, I would automatically, now I'm back in Iraq, just on the strength of hearing, not just my children, but children, period, playing. So that was automatic. Automatic reminder, okay, now you're back in it.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Donnie Prevost. I was raised in Boston. I was in the United States Marine Corps from June 69 to October 70. In the Marine Corps, the military occupational service under I was under was called 0311, Grunt. I was in 0331, which is machine gunner. You can be walking down the street on a rainy day and a smell can come into your nostrils and set you back 35 years to a place, a day, and a time in your mind. You can close your eyes for one split second and see it, almost see it. And usually that day, something happened that affected you. And then you'll contemplate that for the day because that feeling came in. Or you'll just move along. When I got there, the people that I met were so nice and they were so caring and intelligent about how to get the truth. And then Neil, my personal counselor, was a game changer because he said he was the game changer in the sense that he was a combat veteran. And he knew what I was going through. And so we would joke and talk about it. And through a series of about 10 sessions with him, I was on my way to realizing that ptsd was crushing me and alcohol was a problem. And for the first time in 40 years, I realized alcohol was a problem. I was medicated for my first year. I needed medication. Just anti-anxiety type medications, things like that. And then I found that through my counseling and through other things, I got better. I'm talking about hardcore depression. I'm talking about the black hole. Just the black hole where you just don't care. You know that no one will ever get it. You know that there's no one out there who could help you, talk to you, where you're always down. And you don't know why. You just survived a war. You should be happy. You just got out of the service. You should be happy. You put all that service in. It's over. Now the rest of your whole life is ahead of you. You're trained. You're ready for the world. And then all of a sudden, something goes wrong. And you don't know what it is. And if you don't know what it is, you're going to die. You're going to die. You're going to die. You're going to die. You're beginning up with ptsd. And if you don't address it, if you self-medicate, alcohol, drugs, what have you, it blows up. It's writ large then. It becomes writ large. Very frightening. Because then you, me, when I drank, that's a super depression. A lot of veterans will not get help because of pride. They will come home and say, I will not ask my country for anything. I will not go to the VA. I will not go to a hospital and say, help me. I think something's wrong with me. Because there's a stigma attached to it. If you're post-traumatic stress disorder. My little stepson the other day, 12-year-old little boy, looked up at me and said, I said, yeah, I have to go interview about a ptsd thing. And he says, oh, the Kugelmann. You know, this is the perception. And that's not what it is. ptsd is a unique thing for unique people. Just another condition. It's treatable. It's treatable, but it has to be recognized. The heart of America loves you. You're the best, the brightest, and the finest. If you've got a problem, there's help there. Thank you. Just know that there's help there. But know there's a problem. Just help yourself. Help yourself. Don't let the enemy beat you after you come back home from the war. Don't let that happen. You have everything to live for. Everything to give. And you are at the height of your powers. In the prime of your life. Just don't let bad things creep in. Just think positive. Stay positive about your role. About who you are, what you've done. It's astounding to me how some men get affected by it and others just get over it. I respect those men. But for me, it was a... I don't know. I don't know. I don't know. I don't know. I don't know. I just don't. There were some things that happened that just shook me to the core. I was never the same after that. I was more damaged than I thought I was. It took years to figure out that I had such a thing as ptsd. For 20 years I had pretty much put Vietnam on my mind. 9-11. The Epiphany came. 9-11. And all of a sudden, everything intensified. All my feelings, all my frustrations, all the bitterness and the depression I had over how our war was misunderstood and what we did there, all of it came out in a moving, nervous breakdown. I was just a moving, nervous breakdown for months at a time. Suicide, thoughts, all of that stuff was going on in 2001 with the drinking. I had never been suicidal, ever. I don't think that way. It's not my style, ever. So that was another sign. That's when I went to the VA for help. I met some people at the Vet Center in Boston. And what these people do, it's right down the street from where we are now, what these people do is really stunning because... they took me and they listened to me, but it was a different brand of counseling. It was veterans on veterans. These people are combat veterans. They know what we call seeing the elephant, which is combat. That's what we call it. And they know how to deal with you. They know what ptsd is. They're well-versed in it. First, I was working with Neil on just individual therapy, just talking. And just telling my story the way it was. He wanted to know my story. And he'd throw in comments about that, using me. And he was very good at what he did. He had a way of making you feel better about getting this out and putting it in the public domain. You had a trust in him. It's a trust that veterans have between each other.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
Trying to feel things. I think this is something all veterans and families struggle with, the connection. My name is Don, United States Marine Corps from 1968 to 1974. One tour of duty in Vietnam in 1969. I was a wireman, but when I got to Vietnam they didn't have any wire. So they threw a radio on my back and said, here, go on patrol. When you're in combat situation, there's a bunch of us out there, two, three, four tours of duty. We've been numbed. Coming home, then all the emotions start coming back in. I've become very withdrawn and depressed. So I'm on hold all this time. By chance, I called the helpline and they said, you need to go to the VA and have them work with you. And I did. And now I'm here. Now I'm depending on the VA for support and help. The counselor there, he says, well, you have a classic case of ptsd. I found out who I was. They started giving me the medications that I needed and asked me the real question that you're supposed to ask. Understanding and supportive. I found racquetball to be one of the most relieving experiences. I'm focused on the game. It was an intense game. And so out there, I can pound that ball. And I can win that game. And I can win the fight. When you wake up in the morning, you have to make a decision. Do I want to dwell on this? Or do I want to do something positive? I started getting involved in community activities. Being involved takes some of that negative energy and disperses it. My wife loves me dearly. I love her dearly. And I'm in a place where I'm not alone. And I'm in a place now where I'm really happy with myself and who I am. If you're lost and don't know what to do, reach out. Seek help. The toughest thing to do is ask for it. The VA, it's not just people, it's family. Don'tUSTarryll Erasmus
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Linda. I served in two different military branches. I served in the Army for six years and in the Air Force for 15 years. I served as a nurse during wartime, a combat trauma nurse in Balad. I worked night shift, and so every night we would be getting the most severe injuries. I watched people lose their arms, their legs, their heads, their life. It was almost like I told myself I didn't have a right to start having problems. Whatever you do in the military, when you're in that war zone, you're focused on your mission, you know, whatever that is. And you don't allow yourself to kind of take in what you're seeing. But the sleeping problems turned into nightmares and a little bit of isolation. I actually avoided thinking about it by becoming a worker. I was a workaholic, and on the outside I looked great. I became field grade nurse of the year. I did a lot of things that I hid a lot of my emotions. Whether you're active duty or you're a veteran, the stigma of seeking help is one of the main reasons most people don't get help. I was, I guess, lucky in the fact that I was placed with an individual that was trained in trauma therapy. And would actually meet me right after my night shift. And we met and did something called prolonged exposure, which was really tough. But it worked. For me, prolonged exposure is looking at a few of those traumatic experiences. You kind of go back in time, in a way. And you reprocess that memory. You take it very slowly. And you record it. And my homework at night was to listen to that recording several times a day. It basically was the foundation of me getting better. I was able to remember things more. Be more out in public. I was more aware of what triggered me and how to manage those things. And it's not just one thing that works. There's a combination. And it's different for each individual. I have a service dog that helped me tremendously. She allowed me to go to school, get my Master's degree. She went to school with me every day. Got my psychiatric nurse practitioner. And now, actually, I work at the VA. I've had several patients tell me, you know, I didn't lose my leg. I didn't lose my arm. You know, I feel like it's almost I shouldn't go there. And I'm like, I'm not going to go there. I'm almost I shouldn't go there. The reality is there's all kinds of care there, both mental health, physical help. But also, when they come, even if they don't want to continue at the VA, I give them resources in the community. Sometimes coming and talk to either a transition assistant or coming to mental health, they can give that information out to the veterans. ptsd is treatable. You don't have to have it the rest of your life. We all in the military a lot of times think we're the only one. We don't know that there's this big wave of veterans that have been exposed to trauma that can get help. They can get better with good therapy. And it's different for each individual. Good therapy, support from the family members, and they find their mission again. idelityspasacreball.org
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
My name is Vernal. I'm a former U.S. Marine. My primary MOS was 5811. I was in military police. It's back in like 1983, I believe it was, the Polaris Missile Site in Goose Creek Naval Web Station here in Charleston. We had trenches raised. I got in and I surveyed and I see it and I said, wow, my God, I said, these guys can't drive these big LTBs, man. Someone's going to get hurt. I go back and I report my findings. He says, Sergeant, I'm the officer here. You get the men out there and you train them. These guys have never driven. Going up here, so I'm riding up and down the platoon. Well, I circle around to come back up to by this time, this guy runs into one of the hugest oak trees that they have over there. On the Naval Web Station, it was known for big oak trees. The top bounces off, it hits the private, it goes in to his chest, he falls back in the vehicle. I immediately respond to the answer then. I call it in as I'm getting there. I get in and this guy, this guy is lying here. He says, Sergeant, you promised me you wouldn't let nothing happen to me. He dies. But I wouldn't leave. So I guess I kind of just went into a different mindset. They kept trying to get me out of the vehicle. I wouldn't get out of the vehicle. I never had a Marine die. This is peacetime. I'm not in a conflict. And for years, you know, I dealt with that with, after I got out of the military, I dealt with that with booze, you know, alcohol. Ultimately end up going through a divorce. I was always agitated and irritable, but I didn't know what I was dealing with. I started smoking marijuana, heavily drinking, and I would take any type of pain medication I could. Yeah, man, in these dreams, I'm not sleeping well at night, you know. In 2000, a good buddy of mine I ran into, he says, man, what's wrong with you? He said, man, you always irritable. And every time I see you, you're at the bar, man, you're drinking and you, I'm like, man, I'm still in so-and-so. He said, well, you was in the Marine Corps. He said, why don't you go to the VA hospital? So in 2000, I go to the VA hospital in Philadelphia, but I was not getting the counseling type things I want. Then there again, partially I have to take my father to blame when I had appointments set up and whatnot, I didn't want to go. You know, and I mean, that's the way it is. So what happens to a lot of us, we have a certain type of pride that's instilled in us from serving in the military and looking at our age and looking at, you know, from where we come from and where we're at. A lot of times the veteran, like me, I have to take the onus of that, did not want to get the help once I even started going. Because you got to realize I'm still battling alcohol at that time. I'm still, you know, taking pills and smoking pot. I was very numb, you know, I was very agitated. My family kind of ostracized me. You know, my mom said, we don't want to do something until you get yourself some type of help. Then I moved up to Downingtown with a brother of mine, and I started going to Coatesville, second VA hospital. And there they have a mental health facility there. And that's when they really began to tailor my problems. What is it? What are you dreaming about? Why is it? How frequently does it happen? And so as they began to peel back the onion, so to speak, the layers, and show me how to deal with it, they said, yeah, well, you do have ptsd. That's what it is. I'm thinking from what we heard about ptsd, it's somebody that's been in combat, you know, guerrilla warfare, and that's what ptsd is. So I had never identified with that. I didn't think it was. That was something severe. They said, no, there's different types of stages and different types of ptsd, post-traumatic stress traumas that you can get. And based on what you've gone through, you scale, you're severe. This is what you have. What they taught me was that when you have, first they come in and do an assessment. They record each incident, and they play it back, and they start peeling back things I didn't even remember, remembering dates, remembering names. They do it through such a systematic process. It works. But the veteran has to be willing to do his part. He's got to show up for his appointments or her appointments, and they've got to do what's being required of them because at the end, you don't see it right up front. There's so much gray mass going on. But as the rainbow begins to come out, you begin to see a change in your life. You begin to see how you feel comfortable around people, how you can begin to trust people again. You can take people for their word. If anyone knows how to see something through from beginning to end is a veteran. You learn that process from the day you're in a boot camp. And the day you graduated from boot camp and went into the MOS. So there's people out there that want to help you. There's excellent programs. But get the help that's needed. It's there for you. Get the help that you need that you may be able to give back to someone else.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd


<video>
<audio>
The year was 1977. Paul Welch, a young sound engineer, lands a job with one of America's hottest bands, Leonard Skinner. Paul didn't know it, but within eight shows of landing the job, he would be in a swamp in Mississippi on one of the most famous rock and roll plane crashes of all time. Paul was lucky to survive. His doctors told him he probably would never walk. They thought he would never come out of his coma, but he did, he does, and he's here in our studio to tell his amazing account of that day. Paul's story has never been told before, so we hope it brings, perhaps, a fresh new light on a tragic day in 1977. This interview is being brought to you by AceProGuitars.com, known worldwide as the leader in high-quality guitars at unbeatable prices. AceProGuitars.com Well, thanks for coming by and giving us some of your time for the Nashville Facebook page. Very generous of you. You have a fascinating story. As I said in the intro, there are some fascinating things that have happened in the rock and roll history, but it's not many of us that can say they were... there. And you were actually there. Yes. Fortunately and unfortunately. Unfortunately because of the injuries I received, but in a way fortunately because the Leonard Skinner Band, like, I'm not... I don't see the new group terribly often, so I... and I don't mean this to disparage them, but the Leonard Skinner Group that I knew in 1970, 1977, they were the salt of the earth. They were some of the best people I've ever met. And despite the plane crash, I am pleased to have been associated with them in any way. Great people. Why don't we move forward in time. Let's go to the day of the takeoff. Let's go... You're on the tarmac. Yes. And there's apparently some trouble with the engine. Actually, let's back up. The fuel gauge apparently didn't work. Is that right? As I understand it, yes. The fuel gauge in the airplane was inoperative, and the way the pilots knew how much fuel was on board the plane was they would stick a stick down the wings and see how wet it got. I had a 74 Dart. I used to do that same thing. Well, this was... speaking of 74, this was a... I hear a 47, if memory serves. December of 1947, Convair 240. It was originally a passenger airliner? Yes, it was. And had been converted kind of into a cruise... And it was a propeller prop plane? Yes. Twin engine? Twin engine prop plane. About the size of a DC-3 or maybe... well, not everyone knows the airplanes. Imagine a Greyhound bus with wings. Right. The fuselage was around the size of a bus. So according to the wood stick in the tank, and they probably... somebody probably took a record of how much gas was being pumped into the plane. Yes. So according to the wood stick and that, they had some reasonable idea of how much fuel was in it, and it should have made the trip. Yes. So you show up at the airport, there's your plane. Yes. Anything unusual getting on the plane? Sort of. Well, not so much getting on, but once we were on board, we were sitting there in our seats, and the... the airplane was sealed, as it must be, but the ventilation or the air conditioning system doesn't work when it's on the ground. Right. And October 20th in South Carolina... Getting kind of hot on the plane. It was getting hot. And we were all a little uncomfortable. And of course there was no smoking while they were getting the fuel mixture ready for takeoff and, you know, fueling the plane and the like. And all of us nicotine addicts, and... and those who weren't, who were just dying of the heat, we were uncomfortable. And as I understand it, I don't recall how long it was, but I have been told it took us 45 minutes to get the fuel mixture right before the planes would take off. And where were you on the plane? Well, there... at the very front, you know, was the cockpit. Right. And, you know, behind that were the doors that we'd enter the plane. And there's some bench seats there, couches. Sort of, yeah. Well, when you first walk on the plane, there's kind of... there's a lavatory in the galley, bar area, whatever. And then you walk in, kind of a living room area with... That's where you were? No, I was not... I was not in the front part there. But just behind that, where rows of regular airplane seats started, I was in the first row of airplane seats. Nobody was... that I remember, no one was on the... that I remember, no one was on the... no one was on the window seat. I was on the aisle seat, the front left side of the plane. And this is... part of this is what I remember, and just snippets of pictures in my head. And part of it is, I'm judging by the chart that Alan Collins drew out for me in the hospital following the crash, as to where who was seated. And neither of us remembered anybody next to me, but there was me in and across the aisle. And you have a photograph of him there. Yes, of Alan in my room, yeah, trying to help me wake up. The... I was in a coma for about three weeks and four... three weeks and three or four days. It was almost a month. And the whole time I was in the coma, Alan was trying to help pull me out. And he'd come down to my room and say, then, come on, Paul, I need more monitor. I need to hear more Leon. Whatever it was, he'd be trying to just wake me up. So let's go back to the tarmac now. They're having a little trouble, I guess, with that plane adjusting the fuel mixture on one engine independently, at least. I believe that's how they had... I don't know enough about avionics. But I know that they were trying to get the fuel mixture right for takeoff. And we had had trouble with the starboard engine on the flight from Miami to Greenville, where I guess that engine had a bad magneto. And I think a magneto is like an alternator or generator, but somehow it's involved with fuel supply or fuel control. And to make that engine run, it had to be run really rich. And when they gave that much fuel to the engine, once they heated up, sometimes the fuel that was not being... I guess fuel was being sprayed from the carburetor or whatever onto the block and was then being, you know, catching on fire. And so the engine had had flames trailing from it intermittently, I guess, from Miami to Greenville. So when they saw that, why didn't they... I mean, if that happened today, they'd be landing it right there. They'd be landing it right away. What was... Well, apparently the... Oh, the engine's just on fire. We'll just keep going? Yeah. I guess it kind of did. I thought that engine would never catch on fire. Well, the plane was... The engine was still operating. It was just that some of the excess fuel was being blown out. It was igniting, right. It was being ignited. Well, they must have been running it really rich then. Yes. And I guess when that happened, they would then cut back the fuel to that engine, and it would run for a while. Sputter. Maybe it would feather, and they would put more back, and it would catch again. I don't really know, but... Do you remember seeing it on fire, looking out the window? Yes, I recall that. At what point in the trip did you first notice it catching on... Well, on the flight from Miami to Greenville, I recall it. And then I also recall that happening again on the fateful crash. So if I remember right, they were actually... They were actually at the end of this flight, this last one, they were going to vote on whether or not they were going to use that plane anymore, right? Yes. They knew it wasn't a good plane. Well, they knew it wasn't in the best shape, because Led Zeppelin had just gotten a jet. Right, they wanted a... And I think, as you mentioned, a little bit of pride. They wanted their own jet. Right. And they had, as I understand it, dispatched a road manager or some big hoodoo with Leonard Skinner, an organization, whatever, to get a jet for them, not the plane they had been using. And this is unsubstantiated. I don't know this to be a fact, but I have heard through the rumor mill that the company that owned the airplane with Leonard Skinner painted on it and the like, they needed the income from another tour that they were in from touring with Leonard Skinner. And... I've heard that. I've heard they went to extreme measures to make sure the airplane was chosen for one more trip and that the Leonard Skinner... They might have retired it earlier? Yeah. If it wasn't for that? And so that airplane was taken on another tour against the band's desires. And then when the engine caught on fire from Miami to Greenville, there were several in the band who just said, that's it, we're not taking this plane ever again. But they did. And in fact, some of them... I hear Cassie Gaines, at least, but I think there were others, bought commercial plane tickets to fly from Greenville to Baton Rouge. But... And apparently the company that owned the airplane could not afford to pay what the mechanics in Greenville wanted to fix the plane. And they also could not afford to fly their own mechanic to Greenville to have him work on the plane. Goodness gracious. However, since they were based in Dallas, and we were playing in Baton Rouge the next day, they would just have their mechanic meet us in Baton Rouge, he'd fix the plane there. And I guess the pilot and co-pilot knew that the plane was operational. It's scary when there's flames coming out of the engine, but apparently it was running well enough that they didn't feel that it would be a problem. I mean, they knew that by taking off they were betting their lives, and they obviously felt it would make it. You figure if the pilot's willing to do it, yeah. They must have felt it would have made it, and so the band... As I understand it, Ron is urging the band to decide, yeah, well, we can take it, but if they don't get it fixed there, we'll... we'll take steps and get another plane. So finally you get moving down the runway, and you get airborne. And the flight, just normal flight. Little bit of fire from the engine, but you're used to that by now. Well, actually, this and that started to take... I think the engine has to... the block has to heat up quite a bit before that'll happen. So what percentage of the way through the flight were you before you realized you were in trouble? Well... As I understand it, we got over the... or near the Macomb, Mississippi airport, which was large enough, had a runway long enough for the size plane we had, and had the right kind of fuel. And there was discussion about setting down and refueling and making sure everything was fine. But they decided not to because at that point we would be about, you know, 10 minutes flying time to Baton Rouge, and it'd take you just 40, 45 minutes, whatever it was, to get the fuel mixture ready for takeoff in Greenville. Why go through that again when surely we have enough fuel to make it? We took on five and a half, you know, hours. It's a three and a half hour flight. Surely we'd make it. But the rich fuel mixture meant they were consuming a lot more fuel. Pilots failed to calculate that. Yes. They failed to calculate how much extra we were using to make that engine run, I guess. And how much had been burned. And if it's true that they weren't able to adjust the fuel mixture, independently for each engine, then they would have been really sucking the fuel. That's right. Both engines had to, were being run rich. Yeah. And so they decided not to land. And we'd make, you know, the last 10 minutes would be no problem. Do you remember what you were doing when you realized, you know, something was wrong, the plane might be losing altitude? Well, it didn't. Everything was fine. Then the engines caught on fire. And like I said... Both or just the one? Just the starboard. And... It was a worse fire than you'd seen before? No. No? No. It was pretty much the same. I mean, it was disconcerting. Engines on fire again. Okay. Give me another beer. It was disconcerting, but it was, you know... Right. You were all used to it. We had made it from Miami to Greenville, and we only had 10 minutes flying time. Surely we'd make it, you know. I mean, we were all optimistic, I'm sure. And I don't have any memory after when the engine caught on fire. Any direct personal memory. What I hear happened from other survivors, they said shortly after that, the co-pilot came back and said, Sit down, buck your seat belts, put your head between your knees, and don't move till we stop. We're making an emergency crash landing on the highway or a field next to it. The driver of that truck checked in if
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd

ptsd_dataset/validation/PTSD/Plane Crash/Lynyrd Skynyrd plane crash survivor Paul Welch talks with NFBC News. [DTrf9greVqg].mp4

ptsd_dataset/validation/PTSD/Plane Crash/Lynyrd Skynyrd plane crash survivor Paul Welch talks with NFBC News. [DTrf9greVqg].wav

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opensmile/ptsd_dataset/validation/PTSD/Plane Crash/Lynyrd Skynyrd plane crash survivor Paul Welch talks with NFBC News. [DTrf9greVqg].pt


<video>
<audio>
I got onto the left hand wing clambering over that door lip and then I stood onto the wing and was able to stand on the wing momentarily. I jumped I would estimate at a height of about 15, 1.5 feet. I can remember going to Luton Airport back in the day and I was just a kid and you could get quite close to the activity. You'd hear the pilots kind of doing the engine tests and throttling down the runway down that centre line and the noise, the smell of the kerosene coming off the back of the aircraft. The desire to perhaps learn to fly myself one day was perhaps born during that time. I'd been with an instructor for about three weeks duration. I had a couple of different instructors during that time and everything was going very well. Then I'd been solo for around about eight days. It was one of those bluebird days. The sun was shining down on me, birds in the trees kind of twittering and I was just thinking about what was coming ahead. As far as I was concerned it was just another day solo and I was kind of hour building, building up my experience and then I would have been coming back to the UK sort of job done, sort of tick in the box and that ambition complete as it were. Nice and calm, nice and gentle. Hand on the stick and then I go full throttle and I'm starting to take off and I'm starting to head higher and then once I get to a thousand feet I can pull back gently on the throttle and sort of level off. So the aircraft sort of goes from climbing to sort of landing. I'm getting a bit of a tanning here, I'm getting a bit of a tanning here, I'm getting a bit of a tanning on thedamn stairs. It's very light. One of the tricks I take in the summer is kind of the take on the dollar anticipating right.停 ad Euro stream and then that's and it was a thin streak and it was emanating from the front portion of the fuselage. And I looked down at my feet on the rudder pedals. I could see flame starting to lap around the feet and the ankles inside the chamber of the small two-seater cockpit that I'm sat in. And I thought immediately, Christ, this is no drill. This is for real. This is an emergency. And I've got to get this aircraft down. And I immediately felt the heart sort of boom, boom, boom within my chest. You know, there I was at 1,000 feet with nowhere to go. Where am I going to go? You can't jump from that height. People have asked me, you know, did you not have a parachute? Well, you don't wear a parachute in a light aircraft. I was under no illusion if I didn't get out of that burning cockpit quickly that the likelihood was I wasn't going to make it. I was going to be a goner. And that fire would have certainly overwhelmed me and I wouldn't have, you know, lived to tell the tale. The only option I foresaw was indeed to try to get out of that cockpit early. But I needed to get her, the aircraft that was, to a safe level in order to have any, you know, chance of pulling that off cleanly and make it happen. My mind then flicked back to one of the U.S. instructors. And I can distinctly remember it. And he said, and I quote, Above all, if there is an emergency, and you've got a problem, fly the damn aircraft. And these words kind of echoed and reverberated in my memory. And I thought, I've got to hold on. I've got to get a grip here. And I've got to do exactly that. So I kept my left hand on the flight control stick and my right hand on the throttle. And I carefully just knocked off that power on the throttle to try to reduce airspeed. And I needed to reduce that significantly. In order to get myself to a relatively safe speed approaching the active runway. All the time I'm watching the altimeter spin down. So through 900 feet, 800 feet, 700 feet, 600 feet. And I've got that left hand on control, right hand on the throttle. And I'm trying to breathe and I'm trying to think through it. And I'm just trying to really calm it all down as much as possible. When I flew over the top of the active runway, I was literally 100 feet, 50 feet by the time. I'd cleared it. I turn off the key. Magneto's alpha bravo, the red switch is off. In the center column, fuel pump off. Rotate fuel selector valve through 90 degrees off. Everything off, off, off in sequence. At the lower reaches from 50 feet and below, the fire was literally lapping my face. That hand on the control stick, the right hand on the throttle. And I was literally in a vain bid, if you will, to protect my airway from flame ingress. I then opened my left hand canopy door. I can remember reaching across, fiddling with the handle. I then had to elbow it with my left elbow and punch it and strike it with the heel of my hand. And I'm now 50 feet, 40 feet, 30 feet, 20 feet. All the time looking, checking, looking. And at 20 feet, I got onto the left hand. I was able to stand on the wing, clambering over that door lip. And then I stood onto the wing. I was able to stand on the wing momentarily. But I had the backwash of the prop, which is why I have this really aggressive sort of right side dominant burn. And that affected my scalp, as you can see, my right shoulder, down the right hand side of my lower limb. My left side was significantly protected. And that was burned, but it's indeed a lot healthier. And so I jumped, I would estimate, at a height of about 15, 1.5 feet. In reality, I was probably traversing at about perhaps 30 knots through the airspace in that height, 15 feet. So it was a tremendously hard impact. Even though I landed feet first, I then thrust forward. I smashed my face on the sharp Florida razor grass below. And I remember my right shoulder was still on fire, so I aggressively had to pat it out. And my right scalp, I could sense it was still on fire, so I patted it out. The aircraft carried on on a very low and shallow trajectory without me. And I watched her crash land. There was this ugly, crumpling, crashing noise. And extremely loud and very scary. And all of a sudden, boom, an almighty explosion. I felt the shock of the explosion, the energy come through me and back again. And that's something that I've never seen before. And that's something that I've never seen before. And that's something that I've never seen before. I sucked out all of the air that I had within the lung. And the heat in the inferno was indescribable. It was intense. And it was at that moment when the pain hit me for the very first time. And the only way I can describe that, it was like a tsunami of pain that washed over me from head to toe. Every aspect of nerve and sinew was struck by this pain. And I just cannot describe the intensity of that. I had facial fractures. So I inadvertently ruptured my nose bone. I had bilateral, superorbital eye socket fractures on both sides from the impact. Also, the force from the jump and the landing travelled through my torso area. Little did I realise that I'd ruptured my large intestine, so the colon, and I'd also lacerated my liver internally, which was now hemorrhaging and bleeding very profusely internally. I was 63. I had 63% third-degree burns, and that came to light later on with the medical diagnosis. I'm starting to grow colder and weaker with every second that was passing. So I then decided that it wasn't going to be long, that I didn't have long to go to survive here. So I then took my shoes and socks off. I'm not even sure... what the reason for that was. I just figured in my rationale that this was clearly one journey that I didn't need my shoes and socks for. Typical soldier, you know, I wanted that order right to the very end. And I lay the shoes and socks on the right-hand side, and I just put them neatly by the side of me. And I held on, and I don't know how I did it. All I can suggest is that I was a young man at the time. You know, I was just turned 32 years of age, and I was as fit as a butcher's dog by virtue of what I did for a living, you know, with the forces. And I kept myself in great shape. And so I guess I had that fighting edge. But I still didn't have long. And I waited. And then I heard the sirens. It was like, woo, woo, woo, woo, woo. And then the truth is, I don't remember anything for, realistically, the next six months of my life. The doctors in Orlando gave me about 5% probability of survival, which is extremely slim odds. Even though they placed me in drug-induced coma, I was in the fight of my life. I mean, this was Jamie Hull, you know, World War III. To give you an indication, thankfully, because of the insurance that I was backed up by, the bill in America came to some US$2.6 million. And that was only for around about a four-month period. I had 62 operations under James. Both with chemo and pre-diagnostics. Both with a Snaf precisely forreek. Smithcom andtrl x Поrestukl Евrop Risk For Clear Reg타� With Antary Heal Plus Epidermal osobigo Ap legislators Effort Related to the Facility Sc demographics Standardoney First It was very important for me to get back in the air somehow and to fulfil that ambition all over again and to keep going. I did fortunately win a scholarship to learn to fly a hot air balloon and I did my training in Italy. It gave me that real sense of freedom. Admittedly, you know, what I do with a balloon from time to time is a lot more sedate. But then I guess the new version of Jamie Hull is a lot more sedate. You know, I'm not that high speed guy that I once was. And so it's probably quite fitting really.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd

ptsd_dataset/validation/PTSD/Plane Crash/How To Survive A Plane Crash _ Minutes With _ UNILAD _ @LADbible TV [Z5lcOMvAvIc].mp4

ptsd_dataset/validation/PTSD/Plane Crash/How To Survive A Plane Crash _ Minutes With _ UNILAD _ @LADbible TV [Z5lcOMvAvIc].wav

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opensmile/ptsd_dataset/validation/PTSD/Plane Crash/How To Survive A Plane Crash _ Minutes With _ UNILAD _ @LADbible TV [Z5lcOMvAvIc].pt


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Make sure that the weather conditions are the way you need it. Just take it up another notch. I didn't make a mistake. I didn't do anything wrong. None of us did. All we did as a crew was to try to mitigate one of the worst situations that have ever happened to an airplane. Just trying to make it survivable. How much did it feel if you were to be the cause? I had compression fractures in the lower back. I had broken ribs punctured inside my right lung cavity. I had internal bleeding, massive movement of organs. My left shoulder was dislocated. My arm broke. The nerve that goes from the brain to my right hand was severed, so I effectively lost my right hand. My hand cut open and lost the tendons in my fingers. Teeth broken and cracked, facial lacerations, chunks of meat taken out of me here and there. That's basically it. My body's broken, and I'm in hospitals, I'm in surgeries, and I can't fly, and my hand doesn't work. God, am I ever going to get there? Is it ever going to happen? You know, finding a doctor to do this miracle surgery I need on my right arm. Where am I going to find this guy? Who is he? Can they do it? Can I make my hand work? Can I make my hands work well enough to fly again? You really wanted to fly again. Desperately. My doctors never believed that I ever make it back to the cockpit. I did believe. Every time they'd see me, they'd say, How you doing, Denny? And I'd say, I'm super. Doc, I'm one day closer. I'm one day closer. I knew that if I did one day, one day, one day, one day, it was going to be the right day, and I'd be there. They didn't have the nerves to tell me. They didn't have the heart to tell me that, no, you're not. I did not want, desperately did not want that to be my last landing, not to go out that way. And I fought with everything in my heart and my soul to get back. It's as though God looked at that airplane and said I want you, you, not you, you, not you, you. It was so salt and pepper. Right after the accident, a lady walked up to me and stuck her finger in my chest and said, you killed my daughter. You killed my daughter. And I agreed with her. I thought that I should be dead so that she could be alive. A nine-year-old had every right to be alive. I had a life already. About four years later, I was asked to speak to a group of general aviation pilots in the Chicagoland area. The host asked me if it'd be all right if one of the accident victims were in the audience. And I said, with great hesitation, yes, it'd be okay. I was chancing this again, risking again, to have that happen all over. And I met her. And she's in a wheelchair. And if you had to pick a grandmother you'd want for your own, you'd pick her. She's a wonderful lady. And I bent over and I held her among all these male pilots and I just hugged her. And in my ear I heard her say, Captain, I am so glad to meet you. You are my hero. I knew her husband died next to her. And I said, Doris, I am so glad to meet you as well. And I am so sorry that I could not save your husband. And she pushed me back gently and she said, Bull, can you hear me? Captain let it go. God wanted him. I needed permission from somebody who shared the experience, who suffered the loss, to go on. What could I have done differently? How could I have made this more successful? How could I have made it totally survivable? How could I have flown that airplane differently? Looking back on it, what would you do differently? You know, beating yourself up going back there. And you beat yourself and it's necessary. You've got to flagellate your body. You've got to beat yourself up. You have to go back. And find the answer. If I did this, would this have made a difference? If I did this, if I had put more power on, did less thing here, if I knew how close I was, you know, there's just a million ifs. And I've reflown that approach a million times in my mind in search of better answers. And the conclusion was I don't think I could have done a thing different. . The 727 was a 727, which is a shorter walk and less work. And I love the 727. I flew it for 9,000 hours and flew all three seats in it. But for some reason I walked the additional distance and got on 232, the DC-10. Why? That's the question I'll never know. It was to be. You pick a term and it makes you comfortable. Fate, chance, or luck. I had choices. I could have gone left and I could have gone right. I took the path to the left. And that was the one that took me to the DC-10. I have no idea why. You think about life, you think about what's important. You think about why you lived. If that could happen like that, where do you want to be when it does, if it does? I guarantee you that if you ever find a moment in time where you think your end is near, you will think of the people you love and you will ask the question, where am I? And I hope you have a good answer. April 15th, 1990. I was in a DC-10 in the captain's seat pushing back for the Honolulu. And the cabin announcement in the back is, today in command of your flight is Captain Denny Fitch. They didn't believe, but I did. We're taxiing out to the runway and the tower called us and said, if you can be ready when you get to the other runway, we have a slot, we can get you out right away. And it just like a switch went off inside. Boom. Start the engine, you do this, bang, bang, bang, bang. We turned the corner. Before I knew it, I was pushing up the power and roaring down the runway. We shoot it over the gap, we're out over the Pacific Ocean. It all happened so fast. After we passed the point out over the water, I was climbing and things had settled down. And I realized that, oh dear God, I'm back. I'm back. I turned my head away so as not to see me cry, but I just looked heavenward and said, thanks. Thanks for letting me come back. I love what I do. I love it. I was meant to do it. I was built for it. And it's just been a true happy. I've never gone to work. I've only gone to fly. I love amazement. And now you're going to see an amazing shot of me up here in the sky.
Above is a video along with the transcript of a patient undergoing clinical evaluation. Based on the patient's expression and behavior throughout the video, what is the diagnosis? Answer with one word from the following:
ptsd
no ptsd

Answer: ptsd

ptsd_dataset/validation/PTSD/Plane Crash/air crash investigation United Airlines 232 (part6) [4znGqoM9mHg].mp4

ptsd_dataset/validation/PTSD/Plane Crash/air crash investigation United Airlines 232 (part6) [4znGqoM9mHg].wav

pose/ptsd_dataset/validation/PTSD/Plane Crash/air crash investigation United Airlines 232 (part6) [4znGqoM9mHg].pt

opensmile/ptsd_dataset/validation/PTSD/Plane Crash/air crash investigation United Airlines 232 (part6) [4znGqoM9mHg].pt