Bradford v. Commissioner of Social Security

District Court, S.D. Ohio·Decided June 2, 2022·No. 2:21-cv-04650·Unknown

Opinion

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

STACIE B.,

Plaintiff, v. Civil Action 2:21-cv-4650 Judge James L. Graham Magistrate Judge Jolson

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff, Stacie B., 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 applications for Disability Insurance Benefits (“DIB”) and 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 the case under Sentence Four of § 405(g). I. BACKGROUND Plaintiff filed her applications for DIB and SSI on August 22, 2019, asserting disability beginning January 1, 2018, due to Bi-polar disorder, social anxiety, and Post-Traumatic Stress Disorder (PTSD). (Tr. 393–406, 416). After her applications were denied initially and on reconsideration, the Administrative Law Judge (the “ALJ”) held a hearing before ultimately denying Plaintiff’s applications on January 13, 2021. (Tr. 96–118, 59–79). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision final for purposes of judicial review. (Tr. 1–9). Next, Plaintiff filed this action. (Doc. 1). As required, the Commissioner filed the administrative record, and the parties briefed the issues. (Docs. 8, 11, 13, 14). A. Relevant Statements The ALJ summarized Plaintiff’s hearing testimony: [Plaintiff] testified that she had not worked since 2017. She reported that she left her home only approximately twice per month. She stated she had a hard time dealing with people, and she had panic attacks when she left her home. She indicated that she stayed in her bedroom 95 percent of the time and reported that she had panic attacks around her family members, but [Plaintiff] advised that her panic attacks lasted only a few seconds.

(Tr. 69).

B. Relevant Medical History The ALJ summarized Plaintiff’s medical records as to her mental health impairments: [A] treatment note dated April 2018 from her primary healthcare provider shows a diagnosis of anxiety (Exhibit 6F). She indicated that when she became upset or stressed[,] she experienced panic, despite the use of prescribed medication. A treatment note dated August 2018 from Cedar Ridge Behavioral Health Solutions shows she was required to attend counseling, per condition of probation, due to testing positive for amphetamines (Exhibit 7F). [Plaintiff] stated it was a false positive and denied addiction. She endorsed anxiety, racing thoughts, difficulty making decisions, and problems with concentration and processing thoughts. She advised that she avoided crowds, people, public places, and family events. On mental status evaluation, her mood was normal. Attention and concentration were normal, simple calculations and serial sevens were accurate, and long and short- term memory were intact. Her fund of knowledge was normal, judgment and insight were intact, and there was no evidence of hallucinations. Diagnoses included social anxiety disorder, generalized anxiety disorder, bipolar I disorder, and amphetamine-type substance use disorder, mild. [Plaintiff] initially declined counseling but later started attending counseling at the request of her parole officer.

Treatment notes from May 2019 reflect problems with isolation; difficulty trusting others; problems making decisions, thinking, and remembering daily events; distractedness; and intrusive and racing thoughts (Exhibit 7F). On mental status evaluation, she reported that she started experiencing visual and auditory hallucinations after being in jail. She indicated that she was released from jail the previous month. Although she had a depressed and anxious mood, she was cooperative. She had good intellectual functioning, fair judgment, and good insight. The mental healthcare provider diagnosed major depression and prescribed appropriate medication. The evidence shows numerous subsequent mental status evaluations, which were essentially normal. In fact, she later denied hallucinations, and her mood was stable. In addition, [Plaintiff] completed a finance skills lesson regarding bill paying. Although treatment notes from early 2020 show [Plaintiff] endorsed increased stress due to her father’s terminal illness, mental status findings remained normal (Exhibit 7F). She denied hallucinations and paranoia. The healthcare provider stated her mood was stable. Intellectual functioning, insight, and judgment were average. She subsequently reported worsening social anxiety and indicated that she did not leave her home most days (Exhibit 11F). However, her mood remained stable, and the mental status findings were normal. A recent treatment note shows that [Plaintiff] denied any history of substance abuse but was prescribed Hydrocodone for other health issues. Her parole officer voiced concerns about her potentially abusing this medication, and she was now required to provide a urine drug screen to ensure compliance. While she reported increased anxiety and indicated that she had to pull over three times on the drive to the appointment, mental status findings were normal. There was no indication of significant mental health symptoms, other than increased anxiety at times, which is in contrast to [Plaintiff]’s testimony.

(Tr. 70–71).

Then, the ALJ summarized the medical source opinions as to Plaintiff’s mental health impairments: In November 2020, Brandi Stillion, L.S.W., opined [Plaintiff] was seriously limited in numerous areas regarding mental abilities and aptitudes needed to do unskilled work, semiskilled and skilled work, and particular types of jobs (Exhibit 10F). Additionally, she stated [Plaintiff] would be absent from work more than four days per month. While Ms. Stillion is not an acceptable medical source and this is not a medical opinion, this opinion was considered. Regardless, there is nothing in the record to support the severity of these limitations (Exhibits 7F and 11F).

State agency psychological consultant Erika Gilyot-Montgomery, Psy.D., opined in December 2019 that [Plaintiff] was able to carry out simple tasks (Exhibits 1A and 2A). She stated she was able to concentrate, persist, and keep pace for simple tasks with brief, superficial interaction with others. In addition, she advised that she was limited to routine tasks and low workplace pressures consistent with entry- level work. In April 2020, State agency psychological consultant Paul Tangeman, Ph.D., opined [Plaintiff] was able to maintain attention sufficiently to complete simple one to two-step tasks. He reported that she was limited to occasional contact with co-workers and supervisors, and only incidental contact with the public. She advised that she was able to make simple decisions and deal with occasional changes in routine, with no fast[-]paced tasks or strict production quotas. In addition, Dr. Tangeman stated variable paced tasks with end of day production quotas would be acceptable. The opinion of Dr. Gilyot-Montgomery is found to be unpersuasive, as the mental status findings throughout the record do not support a finding that [Plaintiff] would be limited to only “superficial” contact (Exhibits 7F and 11F). The opinion of Dr. Tangeman is found to be more persuasive based on [Plaintiff]’s many good mental status evaluations. Although mental status findings were normal, the record also shows problems with decision-making and concentration. In addition, [Plaintiff] does seek ongoing treatment, which appears to be driven by parole requirements. Finding such limitations are viewing the evidence in the light most favorable to [Plaintiff].

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

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