(SS) Hernandez DeLeon v. Commissioner of Social Security

District Court, E.D. California·Decided November 28, 2023·No. 1:22-cv-01387·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA

STEVEN HERNANDEZ DeLEON, Case No. 1:22-cv-01387-SKO Plaintiff,

v. ORDER ON PLAINTIFF’S SOCIAL KILOLO KIJAKAZI, Acting Commissioner of Social Security, Defendant. (Doc. 1) _____________________________________/ I. INTRODUCTION Plaintiff Steven Hernandez DeLeon (“Plaintiff”) seeks judicial review of a final decision of the Commissioner of Social Security (the “Commissioner” or “Defendant”) denying his application for Supplemental Security Income (SSI) under Title XVI of the Social Security Act (the “Act”), 42 U.S.C. § 1383(c). (Doc. 1.) The matter is currently before the Court on the parties’ briefs, which were submitted, without oral argument, to the Honorable Sheila K. Oberto, United States Magistrate Judge.1 Plaintiff protectively filed his SSI application on July 9, 2019, alleging disability as of April 28, 2019, due to learning disability, high blood pressure, asthma, chronic obstructive pulmonary disease (“COPD”), anxiety, and lung issues. (Administrative Record (“AR”) 62–63, 77, 315, 319, 349, 368.) Plaintiff was born on May 5, 1967, and has a limited education. (AR 36, 52, 62, 77, 315, 320, 349, 368.) A. Relevant Evidence of Record2 1. Medical Evidence In June 2019, Plaintiff was under psychiatric care for an unspecified anxiety disorder. (AR 599.) He reported taking Vistaril as needed, but requested a medication for anxiety and depression. (AR 599.) On examination, Plaintiff made fair eye contact. (AR 599.) He was cooperative, a “little odd,” and polite, with fair hygiene. (AR 599.) He displayed no abnormal involuntary movements, and had clear and coherent speech. (AR 599.) Plaintiff indicated his mood was “fine,” and he had full affect and linear and organized thought processes. (AR 599.) His judgment was good and his insight fair. (AR 599.) No suicidal or homicidal desire or intent was noted. (AR 599.) The provider recommended he start Prozac for anxiety and depression. (AR 599.) Plaintiff presented to a crisis stabilization center in March 2020 seeking assistance with housing while on parole. (AR 1170–74.) He reported “hearing voices” and paranoia. (AR 1170.) His mental status examination showed good judgment, regular speech, good insight, an “okay” mood, and euthymic effect. (AR 1172.) Plaintiff denied having any auditory or visual hallucinations at the time of the examination. (AR 1172.) His thought process was normal. (AR 1172.) He was assessed with an unspecified mood disorder. (AR 1173, 1174.) Later that month, during a telehealth appointment, Plaintiff reported that his mental health had been “fine.” (AR 1103.) His behavior was cooperative, and he was noted to be in an “euthymic mood,” with his thoughts presented as linear and remaining on topic. (AR 1103.) Plaintiff was assessed with an adjustment disorder with anxiety. (AR 1103.) In July 2020, during a visit to the emergency department for abdominal pain, Plaintiff was cooperative with appropriate mood and affect. (AR 894.) Plaintiff reported at a telehealth

2 Because the parties are familiar with the medical evidence, it is summarized here only to the extent relevant to the appointment in September 2020 that he was “doing ok,” but he complained of nightmares and “seeing things.” (AR 1094.) His mental status examination was normal, with a “relaxed” mood. (AR 1094.) In December 2020, Plaintiff established care with county behavioral health services to receive therapy. (AR 1176.) He reported receiving medication services from the parole outpatient clinic and is being treated for anxiety, depression, and paranoia. (AR 1176.) According to Plaintiff, he was placed on a 5150 psychiatric hold six months prior, and is currently experiencing auditory and visual hallucinations. (AR 1176.) He denied any suicidal or homicidal ideation. (AR 1176.) In January 2021, Plaintiff reported at a telehealth appointment that he was “doing fine.” (AR 1092.) His mental status examination was normal. (AR 1092.) During a clinic visit for low back pain in February 2021, Plaintiff’s mental status examination was normal. (AR 1054, 1057.) That same month, Plaintiff presented to a counseling center for an assessment related to his complaints of depression and paranoia. (AR 1239.) The provider noted Plaintiff exhibited “restlessness,” “hesitant” speech, and “poor” immediate memory. (AR 1239.) Plaintiff presented to the emergency department in March 2021 complaining of low back pain and visual and auditory hallucinations. (AR 1073–77.) On examination, his speech was rapid, pressured, and tangential. (AR 1075.) That same month, he was assessed with recurrent major depressive disorder with psychotic features, based on his complaints of auditory and visual hallucinations. (AR 1129.) Later that month, he reported during a telehealth visit that his mental health has been “alright.” (AR 1091.) His mental status examination was normal, with euthymic mood and linear, on-topic thoughts. (AR 1091.) In May 2021, Plaintiff reported to the counseling center that he had been doing “pretty good,” “getting out more,” and spending time with a female companion. (AR 1243, 1244.) In July 2021, services from the counseling center were terminated after Plaintiff missed several appointment and discontinued contact with the provider. (AR 1233.) Plaintiff reported during a telehealth visit in August 2021 that he was “doing fine,” albeit getting “a little angry and mad,” and was continuing his sobriety, exhibiting a cooperative and polite attitude, “good” mood, linear and organized thought processes, and fair judgment and insight. (AR 1281–82.) The provider kept Plaintiff’s Prozac regimen and switched Vistaril to Trileptal. (AR 1282.) 2. Opinion Evidence In October 2019, Judy K. Martin, M.D., a State agency physician, reviewed the record and assessed Plaintiff’s mental residual functional capacity (RFC).3 (AR 72–74.) Dr. Martin opined that Plaintiff was capable of understanding and remembering simple verbal instructions; capable of carrying out simple instructions over the course of a normal workweek; capable of working in limited public contact setting; and capable of adapting to a routine setting. (AR 72–74.) Upon reconsideration in March 2020, another State agency physician, Nicole Sampson, Ph.D., reviewed the record and largely affirmed Dr. Martin’s findings, adding that Plaintiff “would work best in a well spaced environment. He can complete a normal work day and work week.” (AR 89.) B. Administrative Proceedings The Commissioner denied Plaintiff’s application for benefits initially on December 5, 2019, and again on reconsideration on April 23, 2020. (AR 24, 94–98, 100–104.) Consequently, Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”). (AR 128–54.) On October 18, 2021, Plaintiff appeared telephonically with counsel and testified before an ALJ as to his alleged disabling conditions. (AR 51–58.) A vocational expert (“VE”) also testified at the hearing. (AR 58–54.) The ALJ asked the VE to consider a person of Plaintiff’s age, education, and past work history. (AR 59.) The VE was also to assume this person could perform medium work, frequently balance, occasionally stoop, kneel, crouch, crawl, and climb; can perform simple routine tasks, and make simple work-related decisions; have frequent interaction with supervisors and coworkers and occasional interaction with

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

(SS) Hernandez DeLeon v. Commissioner of Social Security, (E.D. Cal. 2023).

(SS) Hernandez DeLeon v. Commissioner of Social Security ((SS) Hernandez DeLeon v. Commissioner of Social Security) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
Shinseki, Secretary of Veterans Affairs v. Sanders
556 U.S. 396 (Supreme Court, 2009)
Hackett v. Barnhart
395 F.3d 1168 (Tenth Circuit, 2005)
Molina v. Astrue
674 F.3d 1104 (Ninth Circuit, 2012)
Tommasetti v. Astrue
533 F.3d 1035 (Ninth Circuit, 2008)
Lawson v. Apfel
46 F. Supp. 2d 941 (W.D. Missouri, 1998)
Igor Zavalin v. Carolyn W. Colvin
778 F.3d 842 (Ninth Circuit, 2015)