Adams v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedMarch 8, 2022
Docket2:20-cv-06549
StatusUnknown

This text of Adams v. Commissioner of Social Security (Adams v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adams v. Commissioner of Social Security, (S.D. Ohio 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO EASTERN DIVISION

BRITTANY A.,

Plaintiff, v. Civil Action 2:20-cv-6549 Judge Sarah D. Morrison Magistrate Judge Jolson

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff, Brittany A., brings this action under 42 U.S.C. § 405(g) seeking review of a final decision of the Commissioner of Social Security (“Commissioner”) denying her application for Supplemental Security Income (“SSI”). For the reasons set forth below, it is RECOMMENDED that the Court REVERSE the Commissioner of Social Security’s nondisability finding and REMAND this case to the Commissioner and the ALJ under Sentence Four of § 405(g). I. BACKGROUND Plaintiff protectively filed her application for SSI on February 12, 2018, alleging disability beginning August 1, 2010. (Doc. 13, Tr. 188–93). After her application was denied initially and on reconsideration, the Administrative Law Judge (the “ALJ”) held the hearing on January 17, 2020. (Tr. 35–57). On January 30, 2020, the ALJ issued a decision denying Plaintiff’s application for benefits. (Tr. 12–34). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. (Tr. 1–6). Plaintiff filed the instant case seeking a review of the Commissioner’s decision on December 24, 2020 (Doc. 1), and the Commissioner filed the administrative record on June 15, 2021 (Doc. 13). The matter has been briefed and is ripe for consideration. (Docs. 16, 19, 26). A. Relevant Medical History and Hearing Testimony 1. Medical History The ALJ summarized Plaintiff’s Medical History as to her mental health impairments as follows: *** The medical record reflects a history of mental impairments. [Plaintiff] reported feeling depressed with difficulty sleeping, some thoughts of self-injurious behavior, and anxiety with panic attacks four to five times a week. (Exs. 6F; 13F.) She had some stressful situations going on in her life, including breaking up with her significant other, but she was able to attend and share a table to sell her crafts at First Friday, manage her fan page, and start learning Korean. (Ex. 13F/3.) Mental status exams showed depressed mood with tearful affect and reported thoughts of self-injurious behavior. However, they generally showed that [Plaintiff] was alert, fully oriented, well-groomed, and cooperative with good eye contact, no agitation, normal speech, appropriate thought processes, focused memory, average fund of knowledge, average intelligence, and good insight and judgment. (Exs. 6F/4, 7.) [Plaintiff] is treated with psychotropic medications and a sleep aid. (Exs. 6F; 12F.) Her medications were adjusted, and [Plaintiff] reported significant improvement in her depression symptoms. (Exs. 6F/7, 10, 13, 16; 10F/1; 12F/1.) However, she developed some anxiety. (Exs. 6F; 7F.) Subsequent mental status and psychiatric exams showed some anxious mood but otherwise were unremarkable. (Exs. 6F/7, 10, 13, 16; 7F/9; 10F/2; 12F/1.) In August 2018, [Plaintiff] reported that she spent hours painting and enjoyed it. (Ex. 12F/1.)

In September 2018, [Plaintiff] presented with thoughts of self-injurious behavior with a plan. She indicated that she had been crying daily, feeling helpless and hopeless, and did not want to get out of bed. She did not feel safe. She was referred to and was admitted for psychiatric hospitalization. She was treated with individual and group therapy, and her medications were adjusted. She was discharged three days later in stable condition. (Ex. 11F/28, 38.) Mental status exam on discharge revealed fair eye contact, fair insight, and fair judgment, but [Plaintiff] was alert, fully oriented, cooperative, and spontaneous with better mood, appropriate affect, normal speech, unremarkable thought content, goal-directed thought processes, intact attention and concentration, and intact recent and remote memory. (Ex. 11F/39.)

At an October 2018 follow-up visit, [Plaintiff] reported that she was feeling a little down but doing pretty good, and her medication adjustment had been helpful. (Ex. 8F/7.) She was able to attend a drum circle and travel to Chicago to see her favorite band. She reported that she was able to socialize with strangers in the park, coffee shops, and that the concert. She further reported that she was selling her artwork. (Ex. 13F/17, 19.) She reported dry-walling, painting and performing other maintenance tasks for money in her apartment complex (Ex. 18F/3). Mental status exam showed fair insight and fair judgment but otherwise was unremarkable. (Ex. 8F/7.) At subsequent visits with her mental health providers, [Plaintiff] reported some anxiety with panic attacks, some depressed mood, and some thoughts of self- injurious behavior. She described past abuse and trauma and endorsed PTSD symptoms of recurrent unwanted memories of past traumatic events, night terrors, flashbacks, avoidance of triggers, hopelessness, and significant relationship problems. However, she indicated that she was not anxious when she was busy reading or making art, she had good support with close friends, and she had a nice Christmas. (Exs. 12F/10; 13F/21, 29.) [Plaintiff]’s medications were adjusted. (Ex. 12F/12.) Subsequent mental status exams showed some depressed mood, sad affect, and fair insight and judgment, but were otherwise unremarkable, as [Plaintiff] was alert, fully oriented, well groomed, and cooperative with good eye contact, no agitation, normal speech, appropriate thought processes, focused memory, average fund of knowledge, and average intelligence. (Exs. 12F/10; 18F/5, 14, 21, 28.)

In February 2019, [Plaintiff] returned for psychiatric hospitalization for thoughts of self[-]injurious behavior with a plan. She indicated that her night terrors, depression, and anxiety had worsened. [Plaintiff] was treated with therapy and medication adjustments. She reported feeling great at discharge and was noted to be bright and social on the unit. [Plaintiff] was discharged in stable condition four days later. (Ex. 14F/14, 29, 30.) She reported to her therapist that this incident was due to her being close to her stepfather, who is a trigger for her anxiety (Ex. 18F/21). In March 2019, [Plaintiff] underwent a follow-up Diagnostic Assessment with physician assistant Marie McGinnis. [Plaintiff] reported constant anxiety, depression, night terrors, guilt, history of self-mutilation, flashbacks, depersonalization, and anxiety with panic attacks. Mental status exam showed reported thoughts of self-injurious behavior, impaired memory, and impaired attention/concentration. However, [Plaintiff] was alert, fully oriented, appropriately groomed, and cooperative with average eye contact, average demeanor, clear speech, euthymic mood, full affect, logical thought processes, and average intelligence. Ms. McGinnis diagnosed PTSD. (Ex. 18F/31-35.) At subsequent mental health visits throughout 2019, [Plaintiff] reported some difficulty sleeping, some social isolation, some disassociation with trigger words, and continued thoughts of self-injurious behavior. However, she noted some improvement in her mood with the medication adjustments. She was able to get out, ride her bike, go back to Chicago for a concert, and attend meditation circles. She was able to contract for safety. She further reported that she was able to go on dates, have tea parties with friends, go to parties, and make new friends. She was able to travel to Texas to visit a new boyfriend. (Ex. 18F/38, 41, 49, 65, 67, 81.) At the hearing, [Plaintiff] indicated that she took public transportation (bus) to Texas.

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Adams v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adams-v-commissioner-of-social-security-ohsd-2022.