Joshua Todd Hale v. Commissioner of Social Security

CourtDistrict Court, N.D. Ohio
DecidedJanuary 12, 2026
Docket1:25-cv-00064
StatusUnknown

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

Bluebook
Joshua Todd Hale v. Commissioner of Social Security, (N.D. Ohio 2026).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO EASTERN DIVISION

JOSHUA TODD HALE, ) CASE NO.: 1:25-cv-00064 ) Plaintiff, ) JUDGE BRIDGET MEEHAN BRENNAN ) v. ) ) COMMISSIONER OF SOCIAL ) MEMORANDUM OPINION SECURITY, ) AND ORDER ) Defendant. )

Before the Court is Magistrate Judge Jennifer Dowdell Armstrong’s Report and Recommendation (“R&R”) recommending the Commissioner of Social Security’s decision be affirmed. (Doc. 11.) Plaintiff Joshua Todd Hale (“Hale”) timely filed objections (Doc. 12), and Defendant Commissioner of Social Security (“Defendant”) responded. (Doc. 13.) For the following reasons, Hale’s objections are OVERRULED, the R&R is ACCEPTED and ADOPTED, and the Commissioner’s final decision is AFFIRMED. I. BACKGROUND A. Joshua Todd Hale’s Medical History Hale does not object to the factual record and procedural history in the R&R. (See Doc. 12 at 1012.)1 Notwithstanding, the Court summarizes the facts pertinent to Hale’s objections. Hale’s medical history includes treatment for both physical and mental conditions. (Doc. 11 at 993; see generally Doc. 6.) The records primarily relate to his physical conditions. (Doc.

1 For ease and consistency, briefing citations reflect the electronically stamped CM/ECF document and PageID# rather than any internal pagination. 11 at 993.) However, Hale’s brief on the merits only related to non-exertional limitations stemming from mental health conditions. (Id.) For this reason, the R&R focused on the mental health records, but noted the physical records were reviewed and considered as well. (Id. at 988 n.3.) Hale did not object to this summation. (See generally Doc. 12.) In similar fashion, because Hale’s objections to the R&R focus on his mental conditions, the Court discusses the

relevant mental health records below but notes it has reviewed Hale’s entire medical history. On May 20, 2019, Hale first underwent psychiatric assessment with nurse practitioner Kelly Geyer. (Doc. 6 at 942.) He sought treatment for anxiety, depression, ADHD, and alcohol dependence. (Id. at 944.) Hale reported panic and anxiety attacks, racing heart rate, feeling overwhelmed, being “fidgety” in social situations, disorganized, lack of focus, sadness, and procrastination. (Id. at 942.) Geyer noted Hale was well-groomed, had clear speech, average eye contract, and was alert and oriented with no cognitive impairment. (Id.) She reported Hale had poor oral hygiene. (Id.) Geyer prescribed medications for depression, anxiety, and ADHD. (Id. at 943.)

On June 18, 2019, Hale followed up with Geyer. (Id. at 726.) He reported the prescribed medication helped manage his anxiety and depression but felt that they could be increased. (Id.) Hale ceased taking one medication, hydroxyzine, because it caused excessive drowsiness. (Id.) He still had difficulty completing tasks, particularly if it requires organization. (Id.) He reported his ADHD medication was helpful for inattention symptoms. (Id.) Geyer noted Hale’s mood was euthymic with full affect, had clear speech and logical thought process, and was alert and oriented. (Id. at 728.) Geyer increased Hale’s prescriptions. (Id.) At a follow-up appointment on July 16, 2019, Hale reporting he was “doing better with anxiety with increased dose” of his medications. (Id. at 731.) Hale also confirmed his ADHD medication was working but tended to wear off in the afternoon. (Id.) Geyer increased his ADHD medications to address this issue. (Id.) Hale also reported intermittent restlessness, for which Geyer re-prescribed him hydroxyzine. (Id.) Hale saw Geyer at follow-up appointments in August 2019, September 2019, October 2019, January 2020, February 2020. (Id. at 737-68.) At these appointments, Hale reported that

he was “doing well” and his mental health seemed to be consistent. (Id.) During his February 2020 appointment, Hale appeared “somewhat anxious.” (Id. at 761.) Geyer removed Hale’s antidepressant medication (id. at 761) but recontinued the medication a month later (id. at 766). Hale’s mental health remained the same in April and May 2020. (Id. at 771-76.) Due to the pandemic quarantine, Hale reported increased depression during his June 2020 appointment. (Id. at 399.) Geyer recommended Hale participate in counseling, but he declined. (Id. at 401.) Geyer increased his antidepressant medication. (Id.) The next month, Hale reported the increase in his medication helped. (Id. at 786.) He also reported he began working. (Id.) Hale remained in similar condition throughout the rest of 2020, which continued through May 2021. (Id. at 791,

796, 801, 811, 816, 821, 823, 826, 831, 838.) In May, Hale reported he was looking forward to returning to work. (Id. at 841.) He missed his appointment in June and July 2021 because he was working but reported stable symptoms in August 2021. (Id. at 846-48.) Hale remained much the same throughout the rest of the year. (Id. at 851, 856, 861, 866.) Things changed in January 2022 when Hale’s mother tragically passed away. (Id. at 873.) During his January appointment, Hale reported feeling “overwhelmed” but otherwise indicated he was “doing okay” given the circumstances. (Id.) Hale reported the same feelings in February 2022 as he continued to grieve the loss of his mother. (Id. at 878.) In April 2022, Hale underwent a psychiatric evaluation with Angela Ciroli as part of a transfer to her care. (Id. at 946.) During the appointment, Hale had normal demeanor, eye contact, speech, and psychomotor activity. (Id. at 946.) However, Ciroli noted Hale was anxious and his “affect is constricted.” (Id. at 947.) Hale reported he always had social anxiety and could not work because of his physical conditions. (Id. at 947-48.) He reported weight loss

since his mother’s passing. (Id.) At his next appointment in May 2022, Hale reported trouble sleeping, racing thoughts, and irritability. (Id. at 883.) He reported difficulty with finances which has led to panic attacks and additional stress. (Id.) Ciroli made a medication change. (Id.) Hale reported stable symptoms in June 2022, but noted he had low motivation and was dealing with stress due to food insecurity. (Id. at 887-89.) In August, Hale presented with poor hygiene and reported he was struggling with focus and increased depression. (Id. at 892.) Ciroli encouraged Hale to attend counseling, but he declined. (Id.) Ciroli again made medication changes. (Id.) The medication changes had their intended effect. In September 2022, Hale reported he

was “doing alright” and was less anxious and stabilized his mood. (Id. at 897.) He stated he was looking for employment. (Id. at 899.) Hale was much the same in October. (Id. at 902-04.) At the appointment, Ciroli made medication changes. (Id.) In November, Hale was doing much better and stated he was “finally feeling good” and presented with a “brighter affect.” (Id. at 907-09.) While worried about the Christmas holiday, Hale noted at his December 29, 2022 appointment he got through it “okay so far” and was doing “very well.” (Id. at 912-14.) From this time through September 2023, Hale reported stable symptoms. (Id. at 917, 922, 927, 932, 937.) He reported he was working part time in April 2023. (Id. at 922-24.) In September 2023, Ciroli suggested weaning Hale off some of his medications. (Id. at 939.) B. Opinion Evidence and State Agency Review On November 26, 2022, Dr. Deryck Richardson reviewed Hale’s claim at the initial review level. (Id. at 127.) Dr. Richardson assessed the following moderate limitations: ability to understand, remember, or apply information; interact with others; concentrate, persist, or maintain pace; and adapt or manage oneself. (Id. at 131.) With respect to Hale’s mental residual

functional capacity, Dr. Richardson found no limitations regarding Hale’s ability to remember locations and work-like procedures, but Dr.

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