Ascher v. O'Malley

CourtDistrict Court, E.D. Wisconsin
DecidedFebruary 20, 2024
Docket1:22-cv-01524
StatusUnknown

This text of Ascher v. O'Malley (Ascher v. O'Malley) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ascher v. O'Malley, (E.D. Wis. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN

BRAD T. ASCHER,

Plaintiff,

v. Case No. 22-CV-1524-SCD

MARTIN J. O’MALLEY, Commissioner of the Social Security Administration,

Defendant.

DECISION AND ORDER

Brad Ascher applied for social security benefits based in part on mental limitations stemming from attention deficit/hyperactivity disorder. After a hearing, an administrative law judge denied the claim for benefits, finding that, although Ascher had limitations in concentrating, persisting, or maintaining pace—CPP in social security lexicon—he could perform certain jobs that involved simple, routine, and repetitive tasks. Ascher seeks judicial review of that decision, arguing that the ALJ failed to adequately account for his CPP limitations. Because substantial evidence supports the ALJ’s finding that Ascher retained the mental ability to perform simple, routine, and repetitive tasks, I will affirm the denial of disability benefits. BACKGROUND In 2020, Ascher applied for disability insurance benefits and supplemental security income under Titles II and XVI of the Social Security Act, respectively, claiming that he became disabled early that year due to various physical and mental impairments. I. Medical Background Ascher claims he has suffered from mental health issues his entire life. See R. 369.1 He reported being bullied in school and receiving special educational services for attention and learning issues. Despite those struggles, he was able to graduate from high school and

complete one year of technical college. Ascher worked for many years as a self-employed contractor doing home repairs and remodeling. But he reported struggling with paperwork and making estimates due to poor focus and attention. In early 2019, Ascher got a new job as a cabinetmaker and installer. R. 51, 279, 508. It didn’t last long; he was fired after only four months for making too many mental mistakes. R. 248, 268–69, 273, 279, 501, 806–08. Around that same time, Ascher began seeing Heidi Derbick, APNP, for behavioral health therapy. Ascher told Derbick that he struggled with depression, lack of focus, concentration problems, and an inability to complete tasks. R. 512–18. Derbick diagnosed ADHD (primarily inattentive type), moderate depression (single episode), and generalized anxiety disorder. Ascher was already taking Ritalin, but given his reported concentration

issues, Derbick increased the dosage from 15 mg to 20 mg. At his follow-up appointment, Ascher reported that the change in medication really helped him with focus and concentration, so Derbick did not make any changes to his treatment regimen. R. 505–11. A few months later, Ascher stopped taking his Ritalin because he felt it wasn’t helping anymore. R. 494–98. He also told Derbick that he didn’t want to continue taking stimulant medication, and he reported using CBD oil instead. However, Ascher asked to restart the medication a few weeks later, and Derbick prescribed extended-release Ritalin 20 mg. R. 487–

1 The transcript is filed on the docket at ECF No. 11-2 to 11-9. 2 93. Ascher stated that, after just three days, he felt the medication was working well; his mind was not jumbled, he could focus, and he was not overthinking. Ascher continued to see Derbick throughout 2019, 2020, and 2021. See R. 472–77, 631–36, 645–50, 726–38, 741–45, 811–16. During those appointments, Derbick did not note

any issues with concentration or attention. Ascher reported that the Ritalin was effective, and he was doing well overall. In June 2021, Ascher told Derbick that he still lost focus and had trouble finishing tasks. R. 735. Derbick increased Ascher’s Ritalin dosage to 30 mg. R. 736. At a follow-up appointment in December 2021, Ascher reported that the increased dosage helped with focus and concentration. R. 813. Derbick continued the same medication. R. 814. Meanwhile, in January 2020, Ascher underwent a cognitive screening after reporting increased memory issues to his primary care provider. See R. 651–53. The depression screen was indicative of severe depression, but the cognitive screen was mixed. For example, testing revealed mild errors in attention (counting backward from 100 by 7s) and delayed recall

(remembering three words after a few-minute delay) and normal results in other areas. Ascher also participated in individual psychotherapy. See R. 562–75. The therapy sessions focused mainly on Ascher’s relationship issues with his girlfriend and his care for his teenage daughter. At the initial session in June 2020, Ascher presented with restless motor activity and an anxious affect. R. 574. However, he was appropriately dressed, had normal speech and mood, demonstrated logical and well-organized thought content, and had good memory, average intelligence, and fair judgment. The psychotherapist did not note any concentration issues. In December 2021, Ascher appeared for a consultative psychological examination with Steve Krawiec, PhD. See R. 806–09. Ascher reported severe attention deficit, short-term

3 memory issues, and difficulty completing tasks. R. 806. He told Dr. Krawiec that his Ritalin medication helped, estimating that it provided about thirty percent relief of his symptoms. R. 806–07. During the mental status exam, Ascher was oriented, his remote memory and fund of information seemed grossly intact, and he did well on arithmetic computation.

R. 807. He struggled with delayed recall, but his attention and concentration ability was generally adequate for following and participating in the ongoing conversation, and he did well on a serial 2s task. Dr. Krawiec diagnosed ADHD and social anxiety disorder. R. 808. He indicated that Ascher’s attention difficulty could possibly interfere with things like remembering and applying information; concentrating, persisting, and maintaining pace; and understanding things. II. Procedural Background Ascher applied for social security benefits in September 2020. R. 14, 223–24. He alleged that he became disabled on January 1, 2020, due to neck and shoulder issues, rheumatoid arthritis, fibromyalgia, anxiety, nerve pain, arthritis in his feet and hands, ADHD,

and pain in his back, knees, and elbow. R. 223–24, 276–83. With respect to his mental health, Ascher asserted that he had difficulty remembering, completing tasks, concentrating, understanding, following directions, and getting along with others. R. 287–98. But he also reported no problems with personal care, he cooked his own meals, he performed household chores, he drove, he shopped in stores, he liked to fish, hunt, and collect antiques, and he visited with friends a few times a week. The state agency charged with reviewing the applications on behalf of the Social Security Administration denied Ascher’s claim initially and upon his request for reconsideration. See R. 71–106. Deborah Pape, PhD, reviewed Ascher’s mental health records

4 initially and found that his depression, anxiety, and ADHD were not severe impairments. R. 74–75, 80–81. Jason Kocina, PsyD, the reviewing psychologist at the reconsideration level, found that Ascher’s mental impairments were severe but not disabling. R. 87–88, 99–100. Specifically, Dr. Kocina found that Ascher had no limitation in understanding, remembering,

or applying information; a moderate limitation in interacting with others; a moderate limitation in concentrating, persisting, or maintaining pace; and a moderate limitation in adapting or managing oneself.2 With respect to sustained concentration and persistence, Dr. Kocina found that Peterson was moderately limited only in his ability to carry out detailed instructions and work in coordination with or in proximity to others without being distracted by them. R. 91–93, 103–05. Given those CPP limitations, Dr.

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