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Tesla Autopilot and FSD Beta can be a remedy for drivers with PTSD — even in their imperfect state

Credit: @evamcmillan333/Twitter)

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It took Tesla owner Matthew Kerle a whole month to get behind the wheel of a car and drive on the highway once more. And when he did, things were not the same. 

Just a few weeks before, Kerle was riding in his friend’s Pontiac Grand Am when the driver approached a sharp curve too fast. It was dusk, and the road was unfamiliar. Upon realizing that they were about to crash, Kerle braced for impact, planting his feet on the car’s floor and clenching his iPhone as tightly as he could in his hand. The driver tried to slow down, but it was not enough, and the vehicle started rolling. The impact was so violent that Kerle’s iPhone and shoes were wrenched from his hands and feet.  

Things moved in slow motion at that point. Kerle hoped that the vehicle would roll a couple of times and he and his friends could get out. But it was not to be. Rolling in a car is one of Kerle’s biggest fears, but he steeled himself, hoping that the vehicle would eventually stop. It did, but the rolling sensation and shower of broken glass were quickly replaced by a sudden rush of cold, dark water. Unlike in the movies where the water slowly rises when a car falls into water, Kerle and his friends were immediately submerged. 

The aftermath of Kerle’s accident. (Credit: Matthew Kerle)

It took a significant degree of faith and some luck, but Kerle was eventually able to get out of the overturned Pontiac. Upon reaching solid ground, he saw that his four other friends were still underwater. Injured, exhausted, and shaking from the experience, Kerle called out for his friends. Fortunately, all four emerged from the water, some more injured than the others. But the group’s tribulations were not done yet, as they had to walk almost a mile to find help. Kerle ended up in the hospital, where he recovered from his injuries. But as he went home days later, he realized that things were no longer the same. 

The harrowing experience with the crash and near-death experience gave Kerle PTSD. He found himself unable to drive at speed or at night. Going over railroad tracks was a trigger, and even showers were not a respite as the sound of the water hitting his ears triggered flashbacks of the accident. Kerle’s physical injuries healed, but the mental scars of his near-death experience stayed. He eventually started driving again, but it was a constant mental battle. He could drive, but there were still times when the trauma of the accident came back. 

A Hidden Issue

Kerle’s experience is not unique among American drivers. A survey conducted by online insurance comparison service The Zebra revealed that about 66% of Americans experience driving anxiety, with 55% reporting that they feel it while performing common driving maneuvers. Out of those who experienced anxiety behind the wheel, 26% stated that they were most anxious when merging into the highway and 19% stated that they were most anxious when they are backing up or reversing. About 62% of Americans also reported having a past traumatic driving experience. 

Dr. Rachel Cavallaro, a licensed Psychologist with Thriveworks in Boston, informed Teslarati that vehicular accidents are the leading cause of post-traumatic stress disorder in the general population. Considering that there are 6 million car accidents in the United States with over 2.5 million injuries, this is not a surprise. A study from the American Psychological Association also revealed that car accidents are the number one trauma for men and the second most frequent trauma for women. A study conducted by the National Institute of Mental Health (NIMH) further revealed that 39.2% of motor vehicle accident survivors develop some form of PTSD as well. 

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Credit: The Zebra

“Many people with these conditions avoid driving altogether. If they do decide to drive, they endure it with intense anxiety such as heart palpitations, sweating, muscle tension, an underlying feeling of restlessness, or irritability. These individuals may go to great lengths to avoid highways or roads they view as dangerous. For individuals who have PTSD symptoms, they may have intrusive thoughts or memories which further interfere with their ability to attend to the road. In more severe cases, the individual may experience flashbacks or dissociate,” Cavallaro said. 

Needless to say, Kerle’s experiences and the challenges he faced in his recovery are shared by numerous other drivers in the United States. Jay Varela, a therapist from Thriveworks in Roanoke, outlined some of the issues typically faced by drivers who struggle with PTSD on the road, and Kerle’s experiences were on the dot. 

“It can be extremely challenging for someone suffering from PTSD or driving phobia to drive a vehicle on their own. Individuals with PTSD struggle with ‘triggers’ that remind them of their traumatic experiences. Vehicular accident survivors can experience many triggers while driving, such as the makes and models of cars, weather conditions, or noises. Such triggers can lead to a fight-or-flight response. Fight-or-flight responses can make it difficult to maintain safe driving habits. Furthermore, individuals may engage in ‘safety behaviors’ to manage their symptoms. These can include stopping suddenly, driving well below the speed limit, or becoming fixated on the rearview mirror,” Varela said. 

An Imperfectly Useful Solution

For Kerle, his driving experiences took a turn for the better in 2019 when he took delivery of his Tesla Model 3. By then, he was living in a Phoenix suburb and his commute was very long. Since electric vehicles have lane access, he figured that a Tesla could help him get to work and home faster. Kerle admitted that Tesla’s tech intrigued him, and because he is more of a tech guy than a car guy, he could not stay away from Autopilot. It should be noted that back in 2019, Autopilot is nowhere near as refined as it is today, but for Kerle, it was already life-changing. 

“When you work with a system long enough, you start to understand it,” Kerle told Teslarati, adding that when he first got Autopilot, he tended to distrust the driver-assist system since it would behave differently than a human driver. But over time and as he got more used to Autopilot’s behaviors, Kerle started realizing that Tesla’s driver-assist technologies are really optimized for safety. The car may not behave like a human driver at times, but it is careful nonetheless. 

“After a while, you’re like, ‘All right, I know in situations like this, here’s how it’s going to respond.’ It is going to slow down three car lengths nearby. It’s gonna make it. It’s not gonna cause an accident. And then you start to build a trust and an understanding. And so what I’d say is that you really learn what (Autopilot) does really well and areas that it might not be perfect. You can’t just blindly trust it to do everything and not pay attention, so I really view the relationship between a driver and FSD or Autopilot as a partnership, with the driver taking the role of a supervisor,” Kerle said. 

A Tesla Model 3 utilizing its Navigate on Autopilot feature. (Credit: Tesla)

Eventually, Kerle noted that even Autopilot’s rather strange behaviors are rooted in safety. He told Teslarati about an experience in which Autopilot moved over and sharply jerked back to its original lane. Initially, Kerle thought it was a bug that needed to be reported, but he soon realized that his car jerked back because a careless driver was speeding on the adjacent lane. Had he intervened then and completed the lane change, Kerle noted that he might have ended up being involved in a crash again. 

“When you’re changing lanes, what do you do? You look in your mirror, you turn, you turn and look for cars, and your field of view is very narrow, and you’re taking your eyes off all of the other parts of the road. That is actually a very dangerous thing, and it causes a lot of accidents. Autopilot can see every direction. Now it understands time space. It understands based where cars are, where they’re doing to be, and what they’re doing. 

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“And it making a lane change is actually very safe because it understands what’s going on around it better than a human would. So I think that as supervisors, as it is shifting to become a lot better than humans in a lot of cases, one of the most dangerous things that we can do is take over when it actually has it, because we can mess it up,” Kerle said. 

Kerle is now married with a growing family, so he has bought a Tesla Model X to make sure his kids are as safe as possible. He is also now part of the company’s FSD Beta program, which allows him to use automatic driving on inner-city streets. 

An Infinitely Useful Work in Progress

For Cavallaro, the presence of driver-assist systems that take the stress of driving tasks is invaluable today since the systems could help reduce the fear of driving while increasing the feeling of safety. Varela adds that the presence of automated driving features in vehicles could help individuals suffering from PTSD or driving phobia maintain their independence. 

“Many individuals with PTSD and/or driving phobia may feel unable to drive and this can lead to a loss of independence. Such a loss may have serious impacts on occupational, social, and overall personal functioning. Automated driving systems may help them regain their independence by reducing mental strain and safeguarding against dangerous safety behaviors,” Varela said. 

Both Tesla Autopilot and FSD Beta are a work in progress, and there is also no denying the fact that the company’s self-driving efforts are running quite late. But having seen the rate of improvement in both Autopilot and FSD Beta, Kerle believes that it is just a matter of time before Tesla attains actual autonomous driving. Even in their current form and capabilities, Kerle highlighted that Autopilot and FSD Beta had shown him just how much stress manual driving could bring. 

Credit: AI DRIVR/YouTube

“Before I got my Model 3, because of my PTSD, I did not understand how much stress driving to work caused me. When I got FSD and when I got comfortable with it, I had significantly more energy and significantly less stress — by a significant margin — like, other people noticed. And so, I did not really understand how much stress driving and rush hour traffic for an hour each way adds to your life and how exhausting it is to your body. And FSD Beta, yes, you have to supervise and pay attention, but it still removes a massive amount of stress and exhaustion.

“I’m supervising, I’m making sure it’s driving safely, but I don’t have to worry ‘Is that car in front of me gonna slam on its brakes, and do I need to react in a quarter of a second or crash?’ ‘If I’m changing lanes, do I have to be stressed about a situation that I can’t see and can’t control, but need to see where I’m gonna crash?’ All of those little, little things that you’re constantly fixated on while you’re driving are removed to just ensuring that the system is driving properly and safely. The stress reduction is insane,” Kerle said.  

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A Note from the Author

As someone who deals with driving anxiety and sudden OCD tendencies on the road, this article strikes close to home. Unfortunately, Tesla is not available everywhere yet, and it’s no secret that the company’s vehicles, at least for now, still cater to buyers of premium vehicles. For those who shop at the lower end of the auto market, manual driving is still the norm, and it could be for a while. With this in mind, it is pertinent to know what to do to lessen the mental strain of driving, and where to seek help. 

Ken Goodman, one of the board of directors for the Anxiety and Depression Association of America and the creator of The Anxiety Solution Series, informed Teslarati that drivers who are suffering from driving anxiety should start with easier forms of driving first, and work their way up to more difficult tasks later. Goodman noted that starting with neighborhood driving is a good idea, before transitioning to highway driving later on. Driving on the fast lane could also come later when drivers become a bit more comfortable behind the wheel. 

Ultimately, however, Goodman advised that the best solution is still to see a therapist that specializes in the treatment of driving anxiety. 

Cavallaro, for her part, added that Cognitive Behavioral Therapy and associated approaches could help drivers who are suffering from PTSD and driving phobia. “Cognitive Behavioral Therapy has been empirical validated and supported for PTSD as well as associated anxiety disorders. Additionally, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) are specific forms of CBT that were created to treat PTSD,” she said. 

Don’t hesitate to contact us with news tips. Just send a message to simon@teslarati.com to give us a heads up.

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Simon is an experienced automotive reporter with a passion for electric cars and clean energy. Fascinated by the world envisioned by Elon Musk, he hopes to make it to Mars (at least as a tourist) someday. For stories or tips--or even to just say a simple hello--send a message to his email, simon@teslarati.com or his handle on X, @ResidentSponge.

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Lifestyle

Tesla Cybercab and Robotaxi’s real advantage won’t be the ride service

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Concept art of a Tesla Cybercab in Las Vegas Strip as rendered via Grok

For a century, the car has asked the same thing of its owner, which is basically to pay attention. Even the best ride-hailing app like Uber or Lyft only moved the problem into someone else’s hands. You stopped driving, but you still sat in a stranger’s car, while half listening, and wondering whether to take a phone call in the car without being rude. The Cybercab has no wheel, no pedals and no driver. With Grok @bot now live inside it, it becomes something else entirely, and I think that matters more than the fleet count that everyone is tracking.

Grok @bot is an agent, not a voice assistant. A rider signs in once, and from then on can say what they need and watch it happen. Order dinner from a favorite restaurant. Fill the grocery cart. Move money, answer email, adjust a calendar, push a work project forward. Tesla engineer Yun-Ta Tsai confirmed it is enabled across every Cybercab and the rest of the Model Y fleet, and Tesla’s own pitch is that Full Self-Driving handles the commute while Grok handles the errands.

Think about what that does to a thirty minute ride. Uber sells you a trip, while Waymo sells you the same trip in a more private setting. Tesla is selling the thirty minutes themselves, returned to you with an assistant attached. Errands that used to eat a Saturday get done between pickup and drop off. The ride stops being dead time between two places and becomes a place of its own.

Tesla integrates Grok Bot into its vehicles for the ultimate personal assistant

Best of all, your Bots follow you into any Cybercab, and presumably your own Tesla, then logs you out automatically when you step out. Anyone can bolt a chatbot onto a screen, but much harder to own the vehicle, the autonomy stack and the assistant at once. It also quietly ties SpaceX’s Super Intelligence business to Tesla’s fleet, after Tesla converted its xAI stake into SpaceX equity. The relationship between those two companies is getting harder to describe as separate.

This is also where the hard questions start, because an agent that can spend your money in a vehicle other people also ride in needs some answers. How does it handle a voice it shouldn’t trust? What gets recorded, who can see it, and for how long? What happens when a rider leaves halfway through a task?

If Tesla gets those answers right, the scoreboard changes. We have been counting Cybercabs and wait times. The more telling number may be what riders accomplish per trip. That is data almost no one else will ever have, and it is the real reason to watch Grok @bot.

What do you think? Leave me a comment.

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News

Why Elon Musk’s target date for buying an Optimus robot is harder than it sounds

Musk says China’s magnet export ban cost Optimus months, and robot hands remain shockingly hard.

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Concept rendering of Tesla Optimus in mass production

Elon Musk says China’s export curbs on magnets used in electric motors set back Tesla’s Optimus program by two to three months, and that the robot’s hands remain the hardest part of the project. He made the comments Saturday during a live interview with Tesla Owners Silicon Valley at the X Takeover event at Giga Texas, in front of roughly 2,000 attendees. The Optimus discussion begins around the 49 minute mark of the stream.

On the hands, Musk was blunt and noted that a general purpose humanoid needs fine motor skills that are “incredibly difficult to get right. Shockingly difficult,” he said in the interview. He pointed to a problem he says no one has demonstrated yet: “One of the hardest things also generally is to do precision and force at the same time,” such as driving a small self tapping screw into wood. Touch sensors add another layer, since it is “actually kind of hard to get touch sensors that elastically deform and can handle high cycle life and it won’t just break after a few thousand cycles.”

He also took aim at rival robot videos. “Any complicated looking robot demo, it’s a canned demo. It’s not real,” Musk said, adding that real AI means showing a robot something it has never seen and watching it still cope, the way FSD handles a city it has never driven.

Musk expects the Optimus ramp to be slower than a new vehicle production ramp. “The initial part of that S curve of production ramp is going to be very slow at the beginning,” Musk said, partly because “unlike cars, there’s no pre existing supply chain for robot stuff.” That echoes his July reply on X that Optimus production “will be extremely slow at first, as everything is new.”

The magnet disclosure puts a number on a problem Musk first raised in 2025. He said China “prevented the export of magnets for use in electric motors” and that it “set back the Optimus program by like two or three months.” Then he added: “We had robots with no arms.” Tesla’s fix is to bring the supply chain home. “You’ve got to be able to make all the parts domestically,” he said. Teslarati reported in April 2025 that Musk tied the issue to permanent magnets in the arm actuators, where motors have to be as small as possible.

Tesla Optimus V3 hand and arm details revealed in new patents

Production is moving regardless, with a reported internal goal of more than 1,000 a week by the end of 2026. Teslarati recently covered how Tesla is certifying supply partners in China for Optimus parts, while the company’s hand design has been the subject of new patent filings.

Musk has said he wants Optimus available to the public by late 2027, though Tesla has not confirmed that date or published updated production figures.

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Investor's Corner

Elon Musk drops a Thanksgiving hint about Starship’s biggest test yet

Elon Musk says Starship Flight 15 will try to catch the ship itself, a first.

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Elon Musk says SpaceX’s next Starship flight will try something nobody has done before, by catching the ship itself. Speaking to roughly 2,000 people at the X Takeover event at Giga Texas on Saturday, Musk said Flight 15 is about four to six weeks away and “probably launches a little bit before Thanksgiving, is my guess.”

That is a slip from earlier reporting, which had pointed to a launch as early as October 19. Musk explained why the date keeps moving. “We’re making a bunch of improvements to the rocket between every flight,” he said, adding that there are often hundreds, sometimes thousands, of small changes. This time the list is short, “but some of them take a fair bit of work and we’ve got to go inside the tank to make some of these changes.”

“We’re going to try to catch the ship, which is a super big deal,” Musk said. “If we do so, that’ll be the first time that there’s been full recovery of an orbital class rocket.” SpaceX has already caught the Super Heavy booster with the tower’s mechanical arms, and has talked about catching the ship since late 2025, but the upper stage has never been caught.

Musk also laid out what comes after. “The next big milestone would be to refly both the booster and the ship,” he said, describing a Flight 16 where “all parts of an orbital rocket are reflown.”

The reason SpaceX wants this comes down to cost and cadence. Every Starship ship so far has ended its flight in the ocean, and SpaceX expects most of those water landings to end in fireballs. A ship that returns to Starbase intact can be inspected and flown again. SpaceX’s IPO filing, says Starship V3 is designed to deliver 100 metric tons to orbit in a fully reusable configuration, that SpaceX aims to cut the cost to reach orbit by 99% or more versus the historical average, and that tower catches should allow “multiple launches per day.”

The payoff goes beyond cheaper launches. The next generation Starlink V3 satellites are too large for Falcon 9 and can only fly on Starship, which can carry up to 60 per flight. Flight 14 on September 28 deployed the first 26 of them after Starship reached orbit despite an early engine shutdown, as Teslarati reported. Musk blamed engine computer software, and said the heat shield “was extremely robust,” which he claimed in August had solved Starship’s biggest challenge.

NASA’s Moon plans depend on the same capability. NASA’s inspector general has described a lander mission that needs a propellant depot in low Earth orbit and more than 10 tanker flights, with SpaceX targeting one tanker launch every six days. That schedule only works if ships and boosters come back fast and fly again. Also, ship to ship propellant transfer has not been attempted yet.

One interesting hurdle yet to be explored is bringing the ship back to the launch site, with reentry over land, which will undoubtedly come with a lot of aviation safety reviews.

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