Letellier v. SSA

2014 DNH 052
CourtDistrict Court, D. New Hampshire
DecidedMarch 11, 2014
Docket13-CV-271-PB
StatusPublished
Cited by2 cases

This text of 2014 DNH 052 (Letellier v. SSA) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Letellier v. SSA, 2014 DNH 052 (D.N.H. 2014).

Opinion

Letellier v. SSA 13-CV-271-PB 3/11/14

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Michelle Letellier

v. Civil No. 13-cv-271-PB Opinion No. 2014 DNH 052 Commissioner of Social Security Administration

MEMORANDUM AND ORDER

Michelle Letellier seeks judicial review of a ruling by the

Commissioner of the Social Security Administration ("SSA")

denying her application for Supplemental Security Income ("SSI")

and Disability Insurance Benefits ("DIB"). Letellier claims

that the Administrative Law Judge ("ALJ") lacked substantial

evidence to support his finding that she was not disabled.

Letellier also claims that the ALJ failed to adequately consider

and appropriately weigh the opinions of medical sources when

making his residual functional capacity ("RFC") assessment.

For the reasons set forth below, I reverse the decision of

the Commissioner and remand for further administrative

proceedings. I. BACKGROUND1

A. Procedural History

Letellier applied for SSI and DIB on December 8, 2010,

claiming that she became disabled due to a back injury on

November 13, 2010. Tr. at 183, 190. The SSA denied Letellier's

claims on April 27, 2011. Tr. at 88, 91. Letellier requested a

hearing before an ALJ, which was held on May 7, 2012. She was

represented by an attorney at the hearing, at which a vocational

expert ("VE") testified. Letellier presented new evidence at

the hearing regarding several impairments in addition to her

back injury. On May 25, 2012, the ALJ issued a decision finding

Letellier not disabled on or after her alleged disability onset

date. The Appeals Council denied Letellier's request for review

on April 29, 2013. Accordingly, the ALJ's decision is the final

decision of the Commissioner.

B. Relevant Medical History-

Several health care providers who treated Letellier for her

physical ailments between 2007 and 2012 made note of her mental

1 The background facts are presented in the parties' Joint Statement of Material Facts (Doc. No. 12) and are summarized here. I also rely on the Administrative Transcript (Doc. No. 6), citations to which are indicated by "Tr.".

~ Because the ALJ's treatment of Letellier's alleged mental impairments requires remand, I need not discuss her various physical impairments. 2 state during examinations. During numerous visits to Coos

County Family Health Services during this period, Letellier

complained of depression, anxiety, and panic attacks. Tr. at

436-521, 526-52, 996-1006. Nevertheless, examination notes

indicate that she possessed intact judgment, insight, and

memory, was oriented to time, place, and person, and showed no

signs of depression or anxiety. In 2009 and 2010, Letellier's

doctors at the Central Maine Pulmonary and Sleep Medicine

facility reported that she was consistently alert and

cooperative with normal mood, affect, attention span, and

concentration. On November 29, 2010, Dr. Tiffany Pineda, M.D.,

noted that an examination of Letellier revealed intact memory

and normal attention and concentration. Letellier's physical

therapist noted that her affect was flat on May 19, 2011.

Dr. Cheryl Bildner, Ph.D., examined Letellier on March 2,

2011. Tr. at 373-77. Letellier reported a history of

depression and anxiety, but Dr. Bildner noted that Letellier was

not receiving treatment and had never been hospitalized for a

psychiatric condition. Dr. Bildner nevertheless diagnosed

Letellier with depressive disorder (not otherwise specified) and

ruled out undifferentiated somatoform disorder.3 Upon

3 Unspecified depressive disorder involves "the presence of sad, 3 examination. Dr. Bildner reported that Letellier was alert,

oriented to person, place, time, and situation, and presented an

appropriate affect, intact thought process, and a fund of

knowledge and intelligence in the average range. In contrast,

Letellier exhibited a depressed mood, low energy and motivation,

and variable attention, concentration, distractibility, and

insight. Letellier could follow simple directions but became

tangential on several occasions and made errors on the Mini

Mental State Examination ("MMSE").4 Dr. Bildner noted that

Letellier was working as a personal care assistant for seven

hours a week and was able to perform most activities of daily

living, although some of these activities were limited or

modified. In particular, Letellier showered daily, took her own

medications, drove, shopped, managed personal affairs, did

empty, or irritable mood." Am. Psychiatric Ass'n, Diagnostic and Statistical Manual of Mental Disorders 309-10 (5th ed. 2013) [hereinafter DSM-V] . Undifferentiated somatoform disorder, now known as unspecified somatic symptom and related disorder, involves "the prominence of somatic symptoms" that "initial[ly] present[] mainly in medical rather than mental health care settings." I d . at 155. Both disorders "cause clinically significant distress or impairment in social, occupational, or other important areas of functioning . . . ." I d . at 184, 327.

4 The MMSE is "a screening test for global cognitive dysfunction . . . . [that] taps frontal, spatial, and memory domains of cognitive function. It identifies subjects with a high probability of moderate to severe global cognitive impairment." Robert J. Campbell, Campbell's Psychiatric Dictionary 616 (9th ed. 2009) . 4 laundry, and prepared meals. Dr. Bildner concluded that

Letellier was able to interact appropriately with others,

communicate effectively, understand and remember locations and

work-like procedures, understand basic instructions, and make

simple decisions. She determined that Letellier was unable to

sustain attention and concentration for extended periods of time

due to fatigue and distractibility, had poor motivation which

interfered with task completion, had a delayed pace of

completion, was unable to tolerate stress associated with a

workplace, and was unable to maintain a full-time established

schedule.

On March 8, 2011, Dr. Laura Landerman, Ph.D., conducted a

review of Letellier's complete medical record. Tr. at 378-94.

Dr. Landerman noted that Letellier's statements were credible

and gave great weight to some of Dr. Bildner's findings,

including her diagnosis of a depressive disorder. Dr. Landerman

found that Letellier had not experienced any episodes of

decompensation of extended duration. She determined that

Letellier was mildly limited in her social functioning and

activities of daily living, but moderately limited in her

ability to maintain concentration, persistence, or pace, to

understand, to remember, and to adapt. Dr. Landerman found that

5 Letellier was able to remember locations and work-like

procedures, make simple work-related decisions, function

effectively without special supervision, maintain a schedule and

appropriate attendance, sustain attention and concentration for

two-hour periods, persist to task and pace within a normal

eight-hour workday and forty-hour workweek without an undue

number of interruptions from psychological symptoms, and

accommodate to simple and routine changes in the workplace. She

concluded that Letellier could interact with co-workers, but

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Related

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