Holskey v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedMay 17, 2022
Docket2:21-cv-04114
StatusUnknown

This text of Holskey v. Commissioner of Social Security (Holskey 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.

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

Opinion

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

DARRELL D. H.,

Plaintiff, Civil Action 2:21-cv-4114 v. Judge James L. Graham Magistrate Judge Elizabeth P. Deavers

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION

Plaintiff, Darrell D. H., brings this action under 42 U.S.C. § 405(g) for review of a final decision of the Commissioner of Social Security (“Commissioner”) denying his application for social security disability insurance benefits. This matter is before the United States Magistrate Judge for a Report and Recommendation on Plaintiff’s Statement of Errors (ECF No. 9), the Commissioner’s Memorandum in Opposition (ECF No. 12), Plaintiff’s Reply (ECF No. 13), and the administrative record (ECF No. 6). For the reasons that follow, 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 his current application for benefits on July 20, 2018,1 alleging that he has been disabled since May 15, 2015, due to diabetes, neuropathy in both feet, left hip

1 Plaintiff’s previous application for benefits was denied by a decision by an ALJ on July 28, 2 017. (R. at 187-204.) Plaintiff’s request for review of the prior decision by the Appeals Council 1 arthritis, and digestive issues. (R. at 370-71, 392.) Plaintiff’s application was denied initially in November 2018 and upon reconsideration in March 2019. (R. at 148-86, 231-37.) Plaintiff sought a de novo hearing before an administrative law judge (“ALJ”). (R. at 238-39.) ALJ Keith J. Kearney held a telephone hearing on July 9, 2020, at which Plaintiff, who was represented by counsel, appeared and testified. (R. at 116-47.) A vocational expert (“VE”) also appeared and testified. (Id.) On August 5, 2020, the ALJ issued a decision finding that Plaintiff was not

disabled within the meaning of the Social Security Act. (R. at 10-33.) The Appeals Council denied Plaintiff’s request for review and adopted the ALJ’s decision as the Commissioner’s final decision. (R. at 2-7.) II. RELEVANT RECORD EVIDENCE2

A. Relevant Hearing Testimony The ALJ summarized Plaintiff’s relevant hearing testimony: At the hearing, [Plaintiff] testified that he was able to drive, grocery shop, live with others, and sometimes visit family and friends.

(R. at 23.)

was denied on April 18, 2018. (R. at 205-10.) The ALJ found that the issue of disability from May 15, 2015 through July 28, 2017, the date of the prior final decision, has been addressed and the doctrine of res judicata applies. 20 C.F.R. 404.957(c)(1). (R. at 13.) 2 Plaintiff’s Statement of Errors only raises arguments about the ALJ’s treatment of the evidence relating to his mental health impairments. Accordingly, the Court will set forth only the facts relevant to Plaintiff’s arguments.

2 B. Relevant Medical Records The ALJ summarized the relevant medical records concerning Plaintiff’s mental health impairments as follows: During the relevant period, [Plaintiff] was diagnosed with and treated for depression. On January 19, 2017, [Plaintiff] was given a Patient Health Questionnaire-9 where he scored a 13, which was indicative of moderate depression. Upon examination by Michelle Garber, PA-C, [Plaintiff] had a normal mood and affect. Ms. Garber diagnosed [Plaintiff] with a moderate episode of recurrent major depressive disorder. (B2F, 37-39). Treatment records between July 2017 to October 2018 reflect continued appointments with Ms. Garber. Mental status findings included a normal mood and affect, normal behavior, normal judgment, and/or normal thought content. (B2F, 47-64). On July 24, 2018, [Plaintiff] admitted he was depressed. He stated that he tried several anti- depressants and they made him feel like a zombie. However, mental status findings included a normal mood and affect. (B2F, 66-68).

[Plaintiff] attended a consultative psychological examination on November 7, 2018 with Ryan R. Wagner, Ph.D. He indicated that he experienced symptoms of depression most of the time characterized by decreased enjoyment, withdrawal from others, decreased attention and concentration, low motivation, poor sleep and appetite, low energy, fatiguing easily, angered easily, irritability, and feelings of helplessness, hopelessness, and worthlessness. He explained that he had nightmares of past trauma and he endorsed difficulty getting enjoyment out of things, detachment from others, and hypervigilance. He reported that he had never been psychiatrically hospitalized or received any mental health treatment. Upon mental status examination, [Plaintiff]’s thought processes were somewhat disorganized and he would often initially provide the wrong answers on testing, but would later correct himself. His thought content was noticeable for sadness about his situation and nervousness. He presented with a downcast facial expression and restricted emotional range. [Plaintiff] spoke in negative terms about various aspects of his life, but he denied any suicidal ideation or intent. He appeared tense and on edge throughout the evaluation and he maintained variable eye contact. His attention and 3 concentration skills were limited. [Plaintiff] appeared restless and his leg shook throughout the interview. He was able to calculate ten iterations of serial sevens in 30 seconds, but made one error. However, he was a cooperative and pleasant man with whom rapport was adequately established. [Plaintiff]’s grooming and hygiene were adequate and he appeared to put forth his best effort on testing. He was alert, responsive, and oriented to all spheres. He was not confused and he had no difficulty recalling aspects of his upbringing. He repeated seven digits forward and five digits backward. [Plaintiff] was able to recall two of three words after a brief delay. He completed serial threes in nine seconds with no errors. He was able to calculate basic subtraction, multiplication, division, and fractions. His judgment appeared to be sufficient for him to make decision affecting his future and to conduct his own living arrangements efficiently. He appeared to have adequate insight into his difficulties. Dr. Wagner diagnosed [Plaintiff] with major depressive disorder, recurrent moderate, and unspecified trauma and stressor disorder. He provided a mental functional assessment discussed below. (B14F).

On January 31, 2019, [Plaintiff] attended a follow up appointment with Ms. Garber. A depression screening score was zero. Upon mental status examination, [Plaintiff] had a normal mood and affect. He was again diagnosed with a moderate episode of recurrent major depressive disorder. (B24F, 1-3).

[Plaintiff] attended an initial behavioral health assessment on February 4, 2020 with Wendi King, LISW. He reported he decided to return to counseling as he had tried it 10 years prior. He explained that he had financial and health stressors, a depressed mood, appetite disturbance, low energy, sleep disturbance, loss of interest, irritability, generalized anxiety, and racing thoughts. Upon mental status examination, [Plaintiff] had a depressed mood with an affect that was mood- congruent. However, he had appropriate behavior and he made good eye contact. His speech and thought process were normal. [Plaintiff]’s insight and judgment [were] good. Ms. King diagnosed [Plaintiff] with depression, unspecified. (B34F, 5-7). Records reflect continued appointments with Ms.

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