Blake v. Commissioner of Social Security

CourtDistrict Court, E.D. North Carolina
DecidedApril 22, 2025
Docket2:24-cv-00023
StatusUnknown

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

Bluebook
Blake v. Commissioner of Social Security, (E.D.N.C. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NORTH CAROLINA NORTHERN DIVISION No. 2:24-CV-00023-D

Nicholas Blake,

Plaintiff,

v. Memorandum & Recommendation

Leland C. Dudek, Acting Commissioner of Social Security,1

Defendant.

Plaintiff Nicholas Blake challenges an Administrative Law Judge’s decision to deny his application for social security income. Blake claims that the ALJ erred in reaching that determination when evaluating the medical opinion of his treating provider. And this error, Blake argues, infected the ALJ’s determination of his residual functional capacity (RFC). Both Blake and Defendant Leland Dudek, Acting Commissioner of Social Security, seek a decision in their favor. D.E. 11, 12. After reviewing the parties’ arguments, the undersigned has determined that the ALJ erred in his determination. The record does not support the ALJ’s reasons to discount a treating provider’s opinions. Given this error, the undersigned cannot conclude that substantial evidence supports the RFC determination. The undersigned thus recommends that the court grant Blake relief, deny Dudek relief, and remand this matter to the Acting Commissioner for further consideration.2

1 The court substitutes Leland C. Dudek for former defendant Martin O’Malley. See Fed. R. Civ. P 25(d).

2 The court has referred this matter to the undersigned for entry of a Memorandum and Recommendation. 28 U.S.C. § 636(b). D.E. 14. I. Background A. Factual Blake has a history of autism, bipolar, depressive, anxiety, and obsessive-compulsive disorders. Tr. at 19. He received childhood benefits based on his autism diagnosis. Prior to his alleged onset date, Blake had a consultative psychological evaluation with Janice McGilberry, LPA/LPC and Shiahna Dye, Ph.D. Tr. at 315–19. Blake reported anxiety attacks, depression, and struggling when plans derailed or things were disorganized. Tr. at 26. He could follow directions but preferred short, concise, and written instructions. Tr. at 27. Blake did not have a driver’s license but was independent in daily activities. Id. On examination, Blake showed adequate attention, occasionally unorganized and

tangential thinking, and average recall, judgment, and insight. Id. The examiners assessed autism and a depressive disorder. Tr. at 28. And they concluded that he could understand, follow, and retain instructions to perform simple, routine, repetitive tasks and maintain concentration, persistence, and pace. Tr. at 318. He would not struggle with daily stress and had no difficulty interacting with others. Id. Before his July 2020 disability onset date, Blake obtained three positions through Vocational Rehabilitation. He first worked as a laborer in a peanut factory for two months in the fall of 2018. Tr. at 220. He stopped because he developed allergies. Tr. at 56–57. He had two other jobs—stocker and janitor—for a brief time before his onset date. Tr. at 220. He received too few

work hours for the stocker position and was terminated from his janitorial position. Tr. at 59. After his alleged onset date, Blake visited Coastal Carolina Family Practice in March 2022. Tr. at 28. He was irritable, depressed, and experienced sleep disturbances. Id. The provider diagnosed autism and mood changes that could stem from bipolar disorder. The next month, Tamara L. Stevens, M.A., performed a consultative psychological

evaluation. Tr. at 362–69. In addition to autism, Blake had an unspecified depressive disorder and had a 17-day hospitalization for suicidal ideation. Tr. at 362–63. He also reported anxiety, panic attacks, and post-traumatic stress disorder (PTSD) from childhood abuse. Tr. at 363–64. A mental status examination showed poor eye contact, poor social interaction, relevant but overly detailed speech, apparent but subtle communication difficulties, missed social cues, adequate attention, and trouble focusing on tasks. Tr. at 366. Blake had limited insight and difficulty taking responsibility for his actions. Tr. at 367. Stevens diagnosed Blake with autism spectrum disorder, generalized anxiety disorder, and panic disorder. Tr. at 368. She concluded that he would experience difficulty sustaining attention for routine, repetitive tasks and working at a consistent pace. Id. Although he appeared to interact

effectively on the surface, Blake had challenges relating to others consistently because of his unusual social skills. Id. And he would have trouble tolerating the stress of daily work and may require ongoing social skills training. Id. Five months later, Patricia Reading, M.S. Ed., LCAS, with Pathways Counseling Center submitted a statement. Tr. at 380–81. She had provided mental health treatment to Blake since 2017. Tr. at 380. Reading remarked that Blake was not progressing well and there was no improvement in his depression. Id. He had poor eye contact and difficulty expressing emotions and acting in a socially appropriate manner. Id. He suffered from panic attacks and his depression symptoms averaged seven or eight on the Likert scale. Id. Blake struggled with concentration, motivation, and connection to others. Tr. at 380–81. Reading’s assessment included autism spectrum disorder, PTSD, and major depressive disorder. Tr. at 381. Reading provided another statement in May 2023. Tr. at 430–31. She noted his depression symptoms had continued without improvement. Tr. at 430. Blake had been unable to keep three

jobs because of difficulty talking to others and completing assignments. Tr. at 430–31. One month later, Reading provided a statement summarizing her recent telehealth conversations with Blake. Tr. at 433–34. He reported hopelessness, appetite disturbance, a lack of control, and an inability to communicate with others. Id. In a Medical Evaluation Report later that month, Reading noted that Blake’s impairments included autism spectrum disorder, PTSD, major depressive disorder, and a social communication disorder. Tr. at 437. She found that he had moderate limitations in maintaining attention and concentration over extended periods, working with or around others, and getting along with others without distraction. Tr. at 437–38. Blake had marked limitations in remembering work-like procedures, carrying out detailed instructions, accepting instruction and responding appropriately

to criticism, and traveling to unfamiliar places. Id. And he had extreme limitations in understanding and remembering simple and detailed instructions, making simple, work-related decisions, completing a normal workday or workweek, performing at a consistent pace, interacting with the public, asking simple questions, maintaining socially appropriate behavior, responding to customary work stresses, and setting realistic goals. Id. State agency consultants found that Blake could understand and retain simple instructions and maintain concentration, persistence, and pace for two-hour periods to perform simple, routine, repetitive tasks. Tr. at 34. He could tolerate incidental public interactions and brief, superficial interactions with coworkers and supervisors. Id. And Blake could adapt to change in a non- production-oriented work setting. Id. Blake testified that he has difficulty communicating with others, misunderstanding directions, accepting criticism, asking for help, and handling stress. Tr. at 59–60. He had a panic

attack at his last job and shuts down when overwhelmed. Tr. at 60. He cannot afford mental health treatment due to a lack of finances and insurance. Tr. at 62–63. Blake lives with his parents. Tr. at 22. He had challenges understanding others. Id. Blake had few friends and struggles with using the phone and texting. Id. Blake could perform household chores but often wrestled with a lack of motivation. Id.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
Blake v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blake-v-commissioner-of-social-security-nced-2025.