Helm v. Commissioner of Social Security, No. 6:2010cv00019 - Document 21 (W.D. Va. 2011)

Court Description: MEMORANDUM OPINION. Signed by District Judge Michael F. Urbanski on July 22, 2011. (sfc)

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I TH E UN I ED STA TES D I N T STR I C O U RT CT FOR THE W ESTERN DI STRI OF VI CT RGI A NI LY N C H BU RG D IV I N SIO ctEars oFncE t. . em = RT l: Dl AT L cF o euRq v A . FI ED L JUL 22 2 1 21 JUL C. DUD A D I A J.H ELM , N BY; , E c Ea Pl nt f , ai if Ci lA c i N o.6: 0- vvi t on 1 c 0001 9 M I A EL J.A STR UE , CH C o m i s o ofSoc a Se ur t m s i ner i l c i y, By: M i chae F.U r l bans ki Uni e St t s Di t i tJudge td a e src D ef endant . M EM O RANDUM OPI ON NI Plitf AdnaHem (t 1 ' b o h ti a t nf rr ve of h Co sin ro an if i l $ m' r ug t h s ci o e iw t e mmiso e f He ) o Soca Se urt s(t il c iy' t commisoner'decsonde nghe cli f s e als c iy si ' ii nyi r am or upplment e urt ) ic me(ûS1'b neisu e t So il c rt Ac (h i t'.Hem s e sa a r o n o i ' e ft nd r he ca Se u iy t te ( ' S ) Ac ) l e k n wad f d sb lyb n ft d et h rAte to Deii Hy rciiyDio d r(1 ia ii e eis u o e tn in fct pea tvt s r e i t ADHD' , p r e ' ' As eg rs ) Dior r(ç pege '') a a uns ii dpe s lt dior .Hem flda a iai f s de s r rs', nd n pecte ronaiy s der l ie n pplc ton or As SSlbe isonN ove be 1, neft m r 2007,s ty a t s t ne eght e ye r ol An horl fer he ur d i e n a s d. Ad n srtv La J d e(ALJ'c n ld dt a Hem wa n t oal ds b e Endn ta miitaie w u g 1 ' o cu e h t l s o t tl ia ld, ig h t 1 ) y Hem ha t er sd a f n to a c p ct (ç 't p ro m smperp t iets a a1 l d h e iu l u cin l a a i t y RFC' o ef r i l e ei v a ks t 1 ) t e ri lvel.( mi srtveRe or 1 'a 1 )Hel fld ane a iai f SSl xe tonale s Ad nitai c d $ ' t 5. m ie R. w pplc ton or be tt on Oc obe 1 2009,a on M a 5,201 t Soc a Se iy Ad i sr ton c ude neis t r 5, nd y 0,he i l curt m nita i oncl d t tHel wa dia e asofOc obe 1 2009. ha m s s bld t r 5, On a ppea , m a guest tt we g oft e de e s l Hel r ha he i ht he vi nc howss i dia ed a t he s s bl nd he ALJ' deer i ton i nots S t m na i s uppored by s t i e de e, Furher e, Hel cont t ubsantal vi nc t mor m endst hat ne ma e i le de i t f m ofaps hol c e ua i by Dr D a d S.Le a a w, t ra vi nce n he or yc ogial val ton . vi en nd R# s e enta r ofbe ispr ubs qu wa d neft ovess i dia e TheComm isone a s rst s bsa i he s s bld. s i r s e t hat u t ntal e de e s vi nc uppor st A LJ' de s on a t tm e i w asm a buto brefdoe notr pond t t he S ci i t he i t de, n i s es o t ne e denc ar ent U pon r vi w oft a i s r tve r or t cour fndst tD r he w vi e gum . e e he dm nit a i ec d, he t i ha . Le n' ne ps hol c e ua i a t s e ntdi a lt det mi i r quiest t e s w yc ogi al val ton nd he ubs que s biiy er naton e r ha t sc ebe REM ANDED f f t a nita i consde a i unde s nt nc sx of42 hi as or urher dmi sr tve i r ton re e e i U. C. 4 5 g .Ass c pli t fsmoinf rs mma yj d me t( c t/1 )i GRANTED S. j 0 ( ) u h, ani f to o u r u g n Do ke /2 s a dd fn a tsmo inf rs mmayj g n ( c t 6 i DENI n ee d n ' to o u r ud me t Do ke #1 ) s ED. 1. S cin40 ()o Til 4 o teUntd Sae Co ea t o ie j diil e iw o te e to 5g f te 2 f h ie tts d u h rz s u ca r ve f h Commisone ' de a ofs i s c iybe is M atov. e,270F. 171,176( h Ci. s i rs nil ocal e urt nett. sr Apfl 3d 4t r 2001.tç ) dundert Soci Se urt Ac,( rviwi c t mus uphol t fcta fndi of he al c iy t a e e ng ourl t d he a u l i ngs t e( )i te aes p re b s b tn il vd n ea dwe er a he tr u ha p iaino h ALJ f h y r u po td y u sa ta e ie c n r e c d h o g p lc to f t c r tlga sa d.' 1 ( t ai i orgi l ( i Cr cv. er 76F.d58 he orec,e l tndar '' d.alerton n i na) quotng ai Chat , 3 5, 5 9( t Ci.1 9 :.t t o g werviw teg mmiso e ')fcu lEn i so yt 8 4h r 9 6 d h u h e e h co sin rs a t a dng nl o Al e tbl hta t e aes p o tdb s b tn ile ie e weas mus a s r ta gi)utmae sa i h t h y r u p re y u sa ta vd nc , lo t su e h t h s li t s c n lso sa elg lyc rc . M v r v. l a o, 1F.d9 0 9 2( t Ci.1 8 ) o cu i n r e al ore t' es Cai n 61 2 8 , 8 4 h r 9 0 . ' f Thecour ma net runde tkeaéçnovor viw oft Commisone ' de sonno t y ihe ra ee he si rs cii r r wegh t e de ofr cor Huntrv.Suli n,993F. 3l 34( t Ci.1 .J cal e- i he vi nce e d. e lva 2d , 4h r 992) udii r viw ofdia lt ca esi lmie t de e ni whe he s tntale de es e e s biiy s s i t d o t nni ng t r ubsa i vi nc upporst t he Commisone ' conduson t tt pli iff l t s tsy t Ad' e il m e co to si rs i ha he antf aied o aif he s ntte nt ndii ns . SeeLa v.Ceebrzz 368F. 640,642( hCi.1 .Evi nc i s tnta whe ws l e e, 2d 4t r 966) de e s ubsa il n, consderng t r co d a a w hol i m i be de m e ade t t s i i he e r s e, t ght e d qua e o uppo ta conc us o by a r l in r onabl m i Ri dson v.Per es 402U. 38 401( 971, rwhe i wo dbes fce eas e nd, char al , S. 9, 1 )o n t ul ufiint t rf s adr ce v r iti aj r til S t v Ch tr 9 F.d6 5 6 ( t Ci.1 9 ) o eu e ie td ed c n u y ra. mih . ae, 9 3 3 , 38 4h r 9 6 . Subs an i le de e i nota t ar orcons de a e a ountofe de ,'Pi r v.Unde woo t ta vi nc s d ge l i r bl m vi nce ' e ce r d, 487U. 552,565( 988 , i mor t n amees ntlaa s S. 1 ) but s e ha r ci il nd omewha ls t na t e s ha pr ponde anc Pe al , U . a 401.l t Comm isone ' dec so i s e r e. r es 402 S. t f he s i r s ii n s uppo td by re s b tnil vie c ,tmus b afr d.4 U. C. 4 5 g ; r ls 4 2U. a 4 . u sa ta e d n e i t e fime 2 S. j 0 ( ) Peae , 0 S. t 01 t s biiy'i t çna lt t e agei a s t i g nf ac i t by r as ofa t a lt 's he û biiy o ng Di i n ny ubsantal ai ul tviy e on ny medi ly de e m i bl physc orme a i r ntwhi h c beexpe t t r ul i de t cal t r na e i al nt l mpaime c an c ed o es t n a h orwhih ha l sed o c n bee ced t l s f aco i c s at r a xpe t o a t or ntnuouspe i ofnotl st n 1 rod es ha 2 mo t s' 4 U. C. 4 ( )1( .Th dd eemiain o ei iiiyf rs ca s c rt nh . 2 S. j 23 d ( )A) e t ltr n to f lgblt o o il e u i ' g y b n t iv l e atv -tpiq r . W al v. r h r, 9 F.d28 , 90(t Ci. 0 2 . e eks n ov s i ese n uiy' ls Ba n a t2 6 3 7 2 4h r 2 0 ) ' Thsiq iya k wh t rt ecama t( )i wo kn ( )h sasveei ar n ; 3 ha a i n ur s s ehe h li n 1 s r ig; 2 a e r mp ime t () s n i ar n t a me t o e u l terq ie n so alse i ime t ( )c nrt l t hso mp ime t h t es r q as h e ur me t f itd mpar n ; 4 a eu. o i r n herpatrlva wor a i not( )whehe heors c pef r ot wor He klrv. s ee nt k; nd f , 5 t r he an rom her k. c e Campbel461U. 458,460- ( 983) p onv. r r,434F. 650,65 n. ( hCi. l, S. 62 1 ; ohns Banha t 3d 4 1 4t r 2005)( tng20C. R.j404.520) I t Commisone c l i l fndst camant cii F. 1 . f he si r oncusvey i he li G s e 'o S diabl 'a a poiti t fve-t p pr es , doe notpr edt t ne t abld' r t di not s ed' t ny n n he i se oc s he s oce o he xt se 2 C. R. 41 9 0 a ( ) On et ecama th se tbih dap i fcec s f r tp. 0 F. j 6.2 ( )4 . c h li n a sa ls e rma a i ae o dia lt t bur t s fst t Comm isone t esa ih t tt cai a m ant i t s biiy, he den hen hit o he s i r o t bls ha he l m nt i ans he 1 o i rng he ai nt s ge duc ton, r xpe ince nd mpar nt, o r o m RFC, c nsde i t cl m a ' a , e a i wo k e re ,a i im e s t pe f r lRFC i ameas e ntoft mos acai ntc n do de piehi lmiatons Se 2 C. R. 41 9 5 a. s ur me he t l ma a s t s i t i . e 0 F. j 6.4 () Ac r ngt t SocalSec iyAdm i srton: co di o he i urt nitai RFC i an asesmentofa i vi ' a lt t do s ti wor r ae physc a me al s s s n ndi duals biiy o usaned k-eltd ial nd nt a tvii i a wor s ti on a r ara co i ng bass. A te ara contnui bass' ci tes n k e tng egul nd ntnui i r gul nd i ng i m ea 8hour ada f 5da aw e k,ora eq val wor s he e. ns s y, or ys e n ui ent k c dul S ca S c rt Re uain( R)9 -p.RFC i t b d tr n db teALJo l a rh c nsd r alee a t o il e u i g lto SS 68 y s o e eemie y h ny he e o ies lrlv n e ie c o acama tsi ime t a a yrltds mpo (..pan) S e20C F. j41 9 ( vd n e f li n ' mpar ns nd n eae y tms eg, i . e R. 6.29$. . atr ai wo kt a e it i t elc l n n to a e o o e .4 U.. j4 3 d ()A) l nt e ve r h t x ss n h o a a d ain l c n mis 2 SC. 2 ( )2 ( , ' Ta orv. ei r r 51 F. 664,666( h Ci.1 . vl W nbe ae, 2 2d 4t r 975) lI . On t da eoft a i sr tvehe rng,J ne25,2009,Hem wa 1 ye r ol Hel he t he dm nitai ai u l s 9 a s d. m c pl t t ei h g a a w a a t ndi a Colege f Li ng Pr a f s ci l om e ed he ght r de, nd s te ng l or vi ogr m or pe a e ducai n sude s Shehashad no ga nf e oyme a doesnotdrve. TheALJis d hi to t nt. i ul mpl nt nd i s ue s de son Septm be 23, cii e r 2009,de e mi ng t tHem wa notdiabl unde t Ac . Hel t r ni ha l s s ed r he t m s ough r vi by t AppeasCounci, c de e herr ques f rr vi w on M a c 24, 0. t e ew he l l whih nid e to e e r h 201 S tldti a p a i fd rlc u t nAp i 2 , 01 , n amoin f rsz r j d me t he ie h s p e l n e e a o r o rl 9 2 0 a d to o t mmay u g n s po td by am e o a up re m r ndum onNovembe 8, 0.TheComm isone fl amoton f r 201 s i r ied i or s mmayj d me ts p o tdbyame rnd m o De e e 3 , 0 Th c u t adte u r u g n u p re mo a u n c mb r 0 201 . e o r he r h pa te 'a gume son Febr r 24,2011 Thi ma tri now rpef diposton. ri s r nt ua y . s te s i or s ii Afe t ALJi s d hi de son i t sc e Hem fl d a t ra i a i f be is tr he s ue s cii n hi as , l ie no he pplc ton or neft on Oct r15, obe 2009.The SocilSec iy Adm i sr ton detr i t tHem wa diabld as a urt nita i e m ned ha l s s e oft tdae a a r be ft .Hem al c t he bre t documen sr l t t he ha t nd wa ded ne is l ta hed o r i f wo t e aed o r s e nta i a i Ata he asAppe x 1i t M a 5, 0 SSIN o i eofAwa d. ubs que pplc ton. tc d ndi s he y 201 te r Ata hed a Appendi 2 i aM a c 22,2010Ps hol y Re r a hor d b Da d S. Leen, tc s x s rh yc og po t ut e y vi Ph. ,oft Vigi a De rm e ofRe biiai Ser c , D. he r ni pa t nt ha lt tve vies conc udi t tHel c l ng ha m anno wo k. t r ( ndi 2t Pl' Br,heei trtApp' 2'. Dr Lee srpor c r dit t tndi oft Appe x o . . r nafe i x ' . n' e t onta cs he i ngs he s ) sa ea tt genc ps hol s upon whi h t ALJr le i fndi Hel nott be dia e . y yc ogit c he e id n ng m o s bl d 11 1. A . Fact Background and M edi Eval i ual cal uat ons Att tmeoft admi sr tvehe rng, l wa 1 ye r ol a enr l d i a he i he nita i a i He m s 9 a s d nd ole n vocai nale ai pr a f s cile a i sude s Hel lveswih he m o he a to duc ton ogr m or pe a duc ton t nt . m i t r t r nd ha ne rbe e oye She ha bee di gnos d wih As ge ' ,ADHD,a ape s lt s ve en mpl d. d n a e t per rs nd r onaiy dior r s de . Hel hasbee eva uaed by muli e me a heat pr e sonal. Dr Kahr m n l t tpl nt l lh of s i s . t yn K ikpa r c a lce e clni al ychol i t e l t d H el on Fe ua y 28, r t i k, i ns d i c ps og s , va ua e m br r 2005, he s w n he wa 1 ye r ol ( 231)Att tmeoft e l ton,Hel wasplc i Parc He y s 5 as d. R. . he i he vauai m a ed n tik nr G ils H om e f t e t e f e oto land be vi a f toni i s s K ikpa rc r' or r a m nt or m i na ha or l unc i ng s ue . r t i k c ude t tHem ha s ala be vi pr emsa pr em swih c oncl d ha l d oci nd ha or obl nd obl t once r ton. nta i ( 2 8) S erc mme e t rp ui itr e to t a d e st s is e a dn tdt a Hem R. 3 . h e o nd d hea e tc ne v ni n o d r s he e su s n oe h t l ma r pond we lt te menti vi a t r sr c ur d and s c tc s t ofr wa dsa y es l o r at nvol ng k y tu t e ve pe ii ysem e r nd c n e u n e . ( 2 9. er c r c n ansn f rh re ie c r g r igHem' sa a t o s q e c s' R. 3 )Th e o d o ti o u te vd n e e a dn l s ty the ' Pa r c H e y Gi ls H om e o he pr es i r pons t he tea m e t r t i k nr r ' r r ogr s n es e o r r t nt he e. Li Sha ,L. C.e l t Hel on Aprl20, n ner P. , vauaed m i 2007. Sha rf ne oundt tHel wa of ha m s a ea eitlie c i mo t r a , u s es o e lwe i tssta me s r s ca j d me ta d v r g n elg n e n s a e s b t h c r d o r n et h t a u e o il u g n n c ommon sns ( 21 )Sha rr poredt tHel ha s pr e wih ditacin a e e. R. 2. ne e t ha m d ome oblms t sr to nd ma i he a er whihwoul makei dit tt wor wihpe t.( 213. Sheo ne nagng r ng , c d t fkul o k t opl R. ) pi d t tHel mayha t a lt t do s ha m ve he biiy o omelmie t i t d ypesofwor i c ran c tonswe emet k f e ti ondii r . ( 21 ) TheALJc i e Sha ' fndi butga t m ltl weg be us t y R. 6. onsderd ners i ngs ve he ite iht ca e he c r dit d fndi r nder d by s e nte l or ,Do Gute r z a Dr E.W a onta c e i ngs e e ubs que vauat s nna i re nd . yne Sl ( 1 1 ) oop. R. 2, 7. DonnaGute r z,ace tfc edr ha lt i c ns orwih t Vigi aDe rm e of ir e riiat e biiaton ou el t he r ni pa t nt Re lttve Se vies eva uaed Hem o J y 9, habiia i r c , l t l n ul 2007.Durng t e l ton,Gu i r znot i he va ua i tere ed t tHem wa plas ,t katve f l ha l s e ant al i , olowed die tons a as f c a iiaton whe s r c i , nd ked or l rfc i n he n e e i.( 2 3. Hem s c e sul fldo t o mssmia t as o t o a plc to b t e d d t R. 4 ) l u c s fly e u f r i lr o h rj b p iai n u a k que tonsa s ed si bouthow t tl Outt f o il he onns On smul ed wor a sgnment,Hel ' . i at k si s m s pr oduc i t r t w e e l ,butt y w e e w ihi a r tviy a es r ow he r t n anget ti c t d t ts c d m e t ha ndi a e ha he oul e c ttvewor sandadswihpr tc ( 2 )Hem s or a ompeii k t r t acie. R. 42. l c ed bovea r geont dor ve a he t m f pe ce ton' a û e ialper e i 's to oft a iudet tand a a on mos ot r r p i ' nd ç rc cl c pton' eci ns he ptt es ver ge t he s ci .( 2 ) Guter zopi dt tHem c dbenei fom sr ce oft De rme of e tons R. 44. ire ne ha l oul ft r evi s he pat nt Re lt tve Se v c and a hi ve an e pl e out om e w ih a opr a e s habiia i r i es c e m oym nt c t ppr i t uppori tve s r ie .( 2 . evc s R. 42) Dr E.W a Sl a c ula i e m i ra c i ca ps hol s,e m i d Hem . yne oop, ons t tve xa ne nd lni l yc ogit xa ne l on Fe ua y 4,2008.H e o e ve t tH e m ha a di heve ed a br r bs r d ha l d s l ppea a e, s a ogi e r nc but he pol z d f he a or r ppea a a r a ied t ts s d ha txe he harbe or s c m et s ehi r nce nd e lz ha he houl ve i d r i f e he n o e m. ( 283. Durngt e mi tonHem t dSl pt ts wassari t t ow outof'he R. ) i he xa nai l ol oo ha he t tng o û gr r ADHD a t therADHD a As r e ' wo d noti e f r wih he a lt t wor nd ha nd pe g r s ul nt re e t r biiy o k. ( 28 ) Hem rpo tdt ts doe no s p o c buts doe afw ho e dc es R. 4. l e re ha he s t ho r ook, he s e ushol hor , s hasdusi a wa hi dihe .( 284. uc tng nd s ng s s R. )Sherporedt ts hadfindsa c c a e t ha he re t hurh nd s hool a Sl opi d t ts doesno ha s ve epr emswih s alf toni . c , nd oop ne ha he t ve e r obl t oci unc i ng ( 28 ) Du i t e naton,Hem wasc r tvea abl t co et ts i atmey R. 5. rng he xami i l oope ai nd e o mpl e a ks n i l a a o it manne .( 284. W he c ei ts , l a r dt t nkl ial nd pprprae r R. ) n ompltng aks Hem ppea e o hi ogc ly a c r nty and t conc t a e a opra e y. ( 28 ) Dr Sl perei dt tHem was nd ohe e l o en r t ppr i t l R. 6. . oop c ve ha l s i ly a e o i ly i aur a d d no unde sand pr pe bounda i i r l tngt oc a l nd m tonal mm t e nd i t rt o r res n e ai o oh r .( 2 3) Slo rpo tdh rGlb l s sme t Fu cinig(I 't b 6 -7 te s R. 8 . o p e re e o a Ase s n of n t n ç o GAF' o e 5 0 ) ( 283) i c tngç l s oms... ge rlyf toni prtywe1' ( 1 ) Sl p R. ,ndiai û d ympt mi but neal unci ng et 1. R. 6. oo ' opi t therpr emswoul notpr cl he fom e o ntt i vedpe f mi ned ha obl d e ude r r mpl yme hat nvol ror ng smpl r pe ii t s . Howe r s r s sma nee t expl n compl i tu i t he i e e ttve a ks ve , upe vior y d o ai ex nsr ctons o r mut etme , ndHem ma ha ep o e i j bswo kn wihtep bi o ar g lrbai li i s a pl l y v r blms n o r ig t h u lc n e ua ss be a es woul miss l s cilc .( 288. c us he d s ubte o a ues R. ) B. Tes i ony f om Non- edi alW ine s s tm r M c t se Vi a Rhodes Hel ' s cile a i t che ,wr t a lterr gar ng Hem ' a lt vin , m s pe a duc ton ea r o e e t e di l s biiy t wok.( 3 ) Rhode r i l wor wihHel durngt 20082009 shoolye rand o r R. 43. s outney ked t m i he c a bei ve t tt hewoul no be a et s t i f ltmeempl ym e i a c le s ha t s d t bl o usan ul i o nt n ompettve wor ii k e vr n n . ( 3 3) Rh d sr p re t a Hem d e n t n e sa o rs e ttepes n l n io me t' R. 4 . o e e o td h t l o s o u d rtnd r e p c h ro a ' s eorf lngsofot r .Shealo notd t tHem i ofe r t he pee sa bec s pac eei he s s e ha l s tn ude o r r nd ome a y when dicplne Hem t ke nor s nsbiiy f he be vi a blm e o he sf i. ngr s i i d. l a s e po i lt or r ha or nd a s t r or t Ho v r Rh d sb le e t t l ma b a et wo ki s eha ado c a h. ( 3 3) we e , o e eiv s ha Hem y e bl o r f h d j b o c ' R. 4 . ' TheALJc i r t sopi on butga i ltl we g a f rasi c r dit d t me c l onsde ed hi ni ve t ite i ht s a t onta c e he di a e de ofDr Sl a Guter ( 1 ) vi nce . oop nd irez. R. 7. Ron Si mons Hem ' c m , l s ouns l rwih t Vigi aDe rm e ofRe lt tve e o t he r ni pa t nt habiia i Se v c ,wr t al te t Hem ' at r y r gar i he a lt t wor . ( 3 4) Hen tdt t r i es o e e tr o l s to ne e d ng r biiy o k R. 4 . oe ha H e m pe f m ed w el i clni a s t i ,s h a i hi of i e a a voca i le ua i ns l r or l n i c l e tngs uc s n s fc nd t tona val t o . Ho ve ,ba e upon r t fom Rhode ,Si monsque to Hel ' a lt t wor d t we r s d epors r s m si ned m s biiy o k ue o d e itr r o l kls h rs ca j d me ts il, n he ia l yt man an s c e su a d ç r nepes na s il, e o il u g n k ls a d r n bii o it i u e sf l n h t he lhy r l tons psw ih co- or r a s r o s a pes n l yge is e . ( 3 4. a t e a i hi t w ke s nd upe ds r , nd ro a h ine su s' R. 4 ) ' TheALJg ltl we ghtt Si ons o ni be aus i wasbas on t r pa t knowl dge ave ite i o mm ' pi on c e t ed hid- ry e fom Rhode .( 1 ) r s R. 7. Hel t sii d athe he rng t ts i e iy dita t a e otona l dit bed. m e tfe r a i ha he s asl sr c ed nd m i ly sur ( 1 ) Sheas tsiidt ts l e he tmpe unde hi sr s Sher tdha ng R. 6. lo etfe ha he os s r e r r gh tes. epore vi l eneis s'ha ngt bet dt bahe, no ha ngfinds R.1 ) M s Stnnet d hygi sue ,' vi o ol o t and t vi re .( 6. . i t Hem' mohe,alot tteda t heai ( 1 ) Stnnett ttedt tHem doe no l s t r s esii t he rng. R. 6. i ' esii ha l t s t c ompr nd pe s ehe r onals cea t ts gespi d o a s hool whi hurshe and c us she pa nd ha he t cke n t c , ch t r a e r t l e he tm pe underc t n c r um sa es o os r e r erai ic t nc .Shea s t sii d t tHel ' t c sr pore lo e tfe ha m s ea her e td ta Hem ha p o lmssa i go ts a dd e snghes l.( 1 . eALJg v ls weg t h t l d r be ty n n a k n rs i ref R. 6)Th a e e s ih t Stnne tsopi on bec us i c ta ced me c levi nc a be us hersa e nt we e o i t' ni a e t on r di t di a de e nd ca e t t me s r s l-evi a t cl ma i he da e .( 1 ) efsr ng, s he ai nt s r ughtr R. 7. I fndi t tHel wasnotdia ed unde t Ac ,t ALJga t m os w egh t t n i ng ha m s bl r he t he ve he t i t o he m e c lo ni ofD r Sl and D o Gute r a l s w ei t opi onst tc r c e di a pi ons . oop nna i r ez nd e s ght o ni ha ontadi t d t m.( 1 ) he R. 7. C . N e Evi w dence Hem fl anew applc ton f SSlbe ft on Oc obe 15,2009. On M ar h 1 201 l ied i a i or ne is t r c 8, 0, s wa e l t by Dr Da d Le n,aps he s vauaed . vi e ychol s wih t Vigi a De rme of ogit t he r ni pa t nt Re lt tve Se vi es who pr r d aPs hol y Re tda edM a c 22, 201 .( p x2. habiia i r c , epa e yc og por t rh 0 Ap ' ) Dr Lee r c a much dif e c . n ea hed fer nt ondusont n Dr Sl a DonnaGute r z. One i ha . oop nd ir e i mporantr as f t sdif r ncea a st bet tStnne t Hem ' mot , c t e on or hi fe e ppe r o ha i t, l s her a fompa e nid Hem t he e l i wih Dr Lee a Stnne tr pored dif e i or i t n t l o r vauaton t . n, nd i t e t fer nt nf maton ha he i o m ai n Hel r pored t he pr vi e uaor . Dr Lee not d t tStnnetS ovi a nf r to m e t o r e ous val t s . n e ha i t i ded pr pori n oft ba ound a m e a sausi or i 'a t çbot t cli a a he to he ckgr nd nt l t t nf maton' nd hat ç h he am nt nd r mot ra rt berla e(ndlce bl ' ( x2. he ppea o eibl a rdi e. App' ) ' AtHem ' evauato Dr Le f l s l i n, . en ound he t be s aly a ousa nave Hem ' ro oci l nxi nd i . l s m o he r por e t s ha difculy f us ng he a t nton t w ar a i te ,s a hous hol t r e t d hat he s f i t oc i r te i o d ctvii s uch s e d c e o r c eai lac i tes hor s r e r tona tvii .Shealo r poredt tHel ac si matlel a oundhe pe r . s e t ha m t m tr y r r es Fore mpl s r f e t s r he pos e sons s pr f r t pl wih c l e muc xa e, he e us s o ha e r s s i , he e e s o ay t hidr n h youngert n herel,a ofe pr f r t sa i he be oom a ha t be f c t e t She ha s f nd tn e e s o t y n r dr nd s o or ed o xi. alo bec esups torf u t a e ove m i r r i cha l nges s h a w a hi t di he . s om e r sr t d r no , outne le , uc s s ng he s s He m' m o he alo r l t t s hast e our ge a s r s Hem ' pe s lhygine. l s t r s e aed hat he o nc a nd upe vi e l s r ona e Hem ha onl s ri i con ac wih o he de l e t ly delyed pee sa s hool a no l s y upe tcal t t t t r veopm n a l a r t c , nd s a e orm ea ngf pe r r l i hi out i ofs hool t bl ni ul e e atons ps s de c . Dr Lee r i on He m ' pr vi di gnossofAs r r sa di gnos d Hem wih a . n eled l s e ous a i pe ge ' nd a e l t t r sve de l pme a dior r no ot r s s cii ' nd ADHD . ( p x2. Heas ç va i pe ve o nt l s de , t he wie pe fed'a Ap ' ) lo a s s d Hem ' GAF a 41,mor t n t nt poi sbel Dr Sl s es e l s t e ha we y nt ow . oop. A GAF of41 -50 i c e S ei s ndiats ç rous ympt s... a s rousi imentt s al oc pa i , ors hool s om or ny e i mpar o oci , cu tonal c f n to i (. , ofin s u b et k e aj b . Dig o tca S aitc l a ua o M e tl u cinng eg.n re d , na l o e p o l' a n si nd ttsia M n l f na ' Dio d r ( M -V- 35(t e Te t viin2 0 ) Dr Le no i dt tHem i u a l s r es DS I TR) 4 h d. x Re so 0 0 . . e pne ha l s n be t pe f r a wor on a f ltm ebass wih orwihou a tona s r son. D r.Leen o r o m ny k ul-i i, t t t ddii t upe vii c ude t sbe aus Hem i una et ac e i tu tons i e ac ap oprat l wih oncl d hi c e l s bl o c pt nsr c i , nt r t pr i e y t c owor r o t publc,a dea wih t sr s esofc ke s r he i nd l t he te s ompeii wo k. ( ttve r App' 2. Dr Le n x ) . e w r e: ot Se conda y t t c ai a ' m a ked i pa r e s i abiii s f r o he l m nt s r m im nt n lte or s aladusme ,a he 1w t e hol f be ng fusr t oci j t nt nd r o hrs d or comi r taed, a ous a dita nxi nd sr ught i r aci n t e n e to o ven r i , m i , outne nor s t tonalc le iua i ha l nges s i unabl t pe f m w or ac i tes of , he s e o r or k tvii a ki on aco it nt f ltme ba i,wih orwihoutaddii l ny nd nsse , ul-i ss t t tona s r ii upe v son. She i una e t mait n r i e a tnda s bl o n ai elabl te nce i a n w o kpl e. She i una e t a e i tuc i f o s r s s r ac s bl o cc pt ns r tons r m upe vi or a dea a oprael wih co ke s a t publc on a nd l ppr i t y t wor r nd he i co it ntba i. She i unabl t c plt a nor a wor ek nsse ss s e o om e e m l kwe wihout i t rupto r s tng fom he i ime s i s i l t n e r i ns e uli r r mpar nt n oc a s lsa sr st e a e. kil nd tes olr nc Shorl a trDr Lee c ty fe . n omplt d hi ev ua i t SocilSe iy Admi sr i n f e e s al ton, he a curt nitato ound Hem l t bedia ed. o s bl D . A nal i o N e Evi nc ys s f w de e Purua t s ntncesxof42U. C.j405( ,arviwi cour ma rma ac s t s nt o e e i S. g) e e ng t y e nd a e o t Com misone upo as he s i r n howi t tt r i ne e de e whih i ma e i land t tt r i ng ha he e s w vi nc c s t ra ha he e s good c e f t f iur t i or ae s h e de i ot r c d i aprorpr ee ng.Se aus or he al e o nc por t uc vi nce nt he e or n i oc di e Bor r v. c e,777F. 95 955( hCi.1 .Evi nc i ne i i i r l ntt t de s He klr 2d 4, 4t r 985) de e s w f t s eeva o he de e mi i ofdia lt a t tme t a i to wastrtfl a no mer l c t r naton s biiy t he i he pplcai n i s ied nd t ey umultve. ai l a 955;s aloW iki v.Se y.De fHe t & Huma Sevs,953F. 93,96( hCi. d. t ee j l ns c' p' a1h n r . 2d 4t r 1 91 Ct d n ei n w wihnteme nn o ti scini i i n td pl ai eo 9 ) Evie c s e t i h a ig f h s e to f t s o u i tv r c c ai ' I i maera i t r i ara ona eposi lt t t new evi nc woul ha umultve. t s t il f hee s e s bl sbiiy hathe ). de e d ve c hange t out om e W iki ,953F. a 96,Bor r 777 F, a 955.The em us bea g d he c . l ns 2d t . de s, 2d t r t ood ea e f rt c am a ' f im et s i t e de ewhe t cli wasbef et us o he l i nts al o ubm t he vi nc n he a m or he Commisoner a t cli a mus pr e t t r ma i c ta l s age r ls wi s i , nd he am nt t es nt o he e nd ng our t ea t ne a ho ng oft na m eoft ne e de e.Bor r , F. a 955. he t ht w vi nc de s 777 2d t I t s c e, he Com m i soners de s on t gr ntdi a lt be ison a s e nt n hi as t s i ' ci i o a s biiy neft ubs que a i a i l s t n one m ont afe t A LJ Sunf a e de s on co tt esbot ne a pplc ton es ha h t r he ' avor bl ci i ns iut h w nd m at r a evi nce Se Ha s v. sr 488 F.Supp. 2d 5 565( . Va. e i l de . e ve A f ue, 60, W D. 2007 (one ,J) )J s . (iW l easconds i s curt a i tonfndsadia lt c ll her e ocal e iy pplcai i sbiiy omme i a orne rt tme ncng t a he i ade son on apr ousa i ton f cii evi pplca i ound no s h dia lt t s eque fndi ofa uc s biiy, he ubs nt i ng dia lt ma c tmt ne a mae ile de ' Rec r v. r r,28 F.Su 2d sbiiy y onsi e w nd tra vi nce. iha d Banha t 5 l; pp. 7 73 ( D.W . 2003 (i ngt ALJSdecson gantngdia lt be isl st na 28, 4 S. Va. ) fndi he ' ii r i s biiy neft es ha we k a trhetrtpr e fe is onounc cai wa notdia e i new andmatra e de e .Whie ed l mant s sbld s e il vi nc ) l t gr ntofbe ft on a s eq ntap i ton i notpr cl i e denc a t apror he a ne is ubs ue plcai s e usve vi e s o i a i ton,i i new a matra e denc wa r ntnga r m a pplcai t s nd e il vi e r a i e nd.Ha , F.Supp. a 565 yes 488 2d t (ii Brt v. asa r,268F. 8 8 ( h Ci.2001) seas W iki ,953F. 93 ctng uon M s na i 3d 24, 27 9t r ); e lo l ns 2d (t Ci.l 9l . 4h r 9 ) Li w i e,Dr Le n' ps hol ca eva ua i i bo h ne a m a e i l D r Lee s ke s . e s yc ogi l l ton s t w nd t r a . . n' r por i ne bec us i i r lva t t detnni ton ofdia lt att tmet a i to e ts w a e t s ee nt o he e na i s biiy he i he pplcai n wasfld a i i notc ie nd t s umultve. The Com misone f ai s i r ound Hel t bedi a ed a ofOc obe m o s bl s t r 15, 09,ls t n one mont a t t ALJ' de son de nghe be ft . The c thasno 20 e s ha h fer he S cii nyi r ne is our r eo ds ot t n Dr Le seva uai t de e net r as f t Co mi soners e r , her ha . en' l ton,o t nni he e on or he m s i ' decson t gr n be tt .Ast c tdoe notha a1 oft r or upon whi t a r of ii o a t neis he our s ve l he ec ds ch he wad be neft on t s c a i a i wa ba e i c nno de e nei t dia lt deer na i s he e ond pplc ton s s d,t a t t nni f he s biiy t mi ton wasbas o e de e smia t t tc i r by t ALJon t a i ton a is i t s ed n vi nc i lr o ha onsde ed he he pplca i t s ue n hi c e o whehe t r we es t nta c ng i He m' m e a c ton s eq n t t as r t r he e r ubsa il ha es n l s nt l ondii ubs ue t o he de alofbe ft by t ALJ ni ne is he .Ho ve ,he e de ei t r or de onsr t t tHe m' we r t vi ne n he ec d m taes ha l s c ton a t tmebe ft we ede ed wa lkey t beno dif r t n he c ton a t ondii t he i ne is r ni si l o fe ent ha r ondii t he tm e be t t wer gr e a t r f e Dr Le n' r por i r l ntt detnni ng dia lt . i ne i s e ant d, nd he e or , . e s e t s eeva o e ni s biiy Hem wasf l ound t bedi a ed d t As r r sa ADHD . Sheha s f r fom t s o s bl ue o pe ge ' nd s ufe ed r he e c tonsf rma ye r ,a t e i no e de et ts ondii o ny a s nd her s vi nc ha uggessama e i de e i aton of t t ral t ror i Hel ' c ton afe t A LJ S de s on i t s c s . Pe haps s e de e e s s buti i not m s ondii t r he ' ci i n hi a e r uch vi nc xi t , ts r l c e i t r or oft sc e.Thec oni na ur ofHem ' i im e s c ete t d n he ec d hi as hr c t e l s mpar nt , ombi d wih ne t t de i i t co me ehe dia lt be isl st n onemont afe t de ii i t s he c son o m nc r s biiy neft es ha h tr he c son n hi c s ,t a e endst s o ugges ot w i e. Furhe m or ,D r Le sopi on i notc ul i be us t t her s t r e . en' ni s um atve ca e he r or doe notco a n a opi on by a he clnia ps ec d s nt i ny ni not r i c l ychol s t He m i dia e ogit hat l s s bl d. Dr Lee se ua i i m a e i be us t r i ar s bl pr . n' val ton s t ral ca e he e s ea ona e obabiiy t ti wo d lt ha t ul ha c ve hange t out d he come oft c s TheALJr i he viy on Dr Sl p' opi on duet hi he a e. eled a l . oo s ni o s me ca fndi a e rieasaci c ps hol s.( 1 ) Dr Lee aloaci ca di l i ngs nd xpe ts lnial yc ogit R. 7. . n, s lni l ps hol s,hassm ia e riet t tofDr Sl p and ha a smia opporuniy t e mi yc ogit i lr xpe ts o ha . oo d i lr t t o xa ne Hel a m a m e ca fndi .Howe ,Dr Le n opi d t tHel i nota et wor m nd ke di l i ngs ver . e ne ha m s bl o k. Thi e lc be we n smia l qua ii e rsc e t ar s bl pr biiy t tt s onfi t t e i lry lted xpe t r aes ea ona e oba lt ha he ou c t ome oft ca em a be dif r ntt n t ALJSorgi dec son. he s y fe e ha he ' i nal ii Furhe m or s t r e, ome oft e de et tt ALJc i e butafor d ltl weght he vi nc ha he onsder d, f de ite i duet isi o t nconsse y wiht m e c lopi on ofDr Sl it nc t he di a ni . oop,i bolt r by t me c l s se ed he di a co us ons ofDr Le n. Fo e m pl M s Rhodes H e m ' s ci e a i t a he ,s nt ncl i . e r xa e, . , l s pe al duc ton e c r pe sgnii a tme i e a tng wih He m durng t pe i t ALJde e m i Hem wasnot i fc nt i nt r c i t l i he rod he t r ned l dia e Rhodes t si on r ga di He m' i biiyt ge a o w ih ot r i co itnt s bl d. ' e tm y e r ng l s na lt o t l ng t he s s nsse wiht fndi ofDr Lee ( 343. Thus ia r t tDr Lee srpor ma behi y t he i ngs . n. R. ) ,t ppea s ha . n' e t y ghl r l va and ma e i t t deer na i ofdia lt i t sc e. e e nt t ral o he t mi ton s biiy n hi as The e i good c us f t f itr t i or a et se denc i ot r c d durngt r s a e or he a lle o nc por t hi vi e nt he e or i he prorpr e ng,asDr Lee sr por wa daedM a c 22,201 , onl t o daysbef e t i oc edi . n' e t s t rh 0 y w or he Ap al Counci' M a ch 24,201 dec son.TheComm iso rss e ntN otceofAwa d pe s ls r 0 ii s i ne ' ubs que i r ca e n lt r on M a 5,201 me ve a e , y 0.Fi l Hem ha pr e e t c twih a ge r s naly, l s es nt d he our t ne al howi ng oft nat eoft sne evi nce, t notc oft a r ofbene isa Dr Le n' r por i he ur hi w de as he i e he wa d ft nd . e s e t s atc e t h rs mmayj d me t re ta h d o e u r u g n b if G i n t l t r na ur ofH el ' m e a i pa nne s and t t tm o a opi o ve he ong e m t e m s nt l m i nt , he es i ny nd ni n ofnonmedialwine s who kne Hel we l t ne a m aera e de co itng ofDr c t s es w m l, he w nd t il vi nce nssi . Le n' Ps ol Repor and t SSlAwar s d b c i r d by t Comm isoneri e s ych ogy t he d houl e onsde e he si n dee ni a a opra eons tdae ofHel ' dia lt Ther f e, hi ca ei tnni ng n ppr it e t m s s biiy. e or t s s s REM ANDED purua t sntnc sx of42 U. C.j405( f c i rtonoft sne s nto e e e i S. g) or onsdeai hi w e de e i de e m i ng w he he a e r i diabiiy ons tdat i w a vi nc n t r ni t r n a ler s lt e e s nunt d. See H a s 488 e ye , F. u p. da 5 5 Ac o dn l plitf' mo inf rs mmayj dg n ( c e #1 )i S p 2 t 6 . c r igy, anifs to o u r u me t Do k t 2 s GRANTED a ddee d n ' mo inf rs mmayj d me t Do ke #1 )i DENI n fn a ts to o u r u g n ( c t 6 s ED. V Att end oft da i i no t pr nc oft r viwi c t o m a a dia lt he he y, t s t he ovi e he e e ng our t ke s biiy de e m i ton. I i t c t s r e t de e m i whe he t Com m i s one ' dec s on i t r na i t s he our ' ol o t r ne t r he s i r s ii s s uppore by s t ntale de td ubsa i vi nce.I t sc e,s t nta e dencedoesnots n hi as ubsa il vi uppor t t he Comm isone ' de son,ast r i apot tali nsse y bet en t de a ofdiabiiy s i rs cii he e s en i nco it nc we he ni l s lt be isa t s e ntgr ntofbe isba e on t s me a l ed menGllmia i ls neft nd he ubs que a neft s d he a leg i t tons e s t n onemont a t rt ALJ Sunf vor bl de son.On r m a t Comm isone s d alo ha h fe he ' a a e cii e nd, he s i r houl s c n ie Dr Le n' M ac 2 , 01 Ps c oo yRe o td tdj s t d ysb fr teAp e l o sd r . e s rh 2 2 0 y h lg p r, ae u t wo a e oe h p as Counc lsaci i t sc e. Acc di y,t sca ei r m a d pur uantt s nt e sx of42 i' ton n hi as or ngl hi s s e nde s o e enc i U. C. 4 5 g f rc n ie ai no ti n w e d n ei d tr nn wh te a e rir S. j 0 ( ) o o sd r to f h s e vie c n eemiig eh r n al e dia lt ons tdae i wara e a i s deer ni s ada e. s biiy e t s r nt d, nd, f o, t mi ng uch t TheCl k ofCour i he e diece t s nd ac rii d co oft sM e or ndum er t s r by r td o e e tfe py hi m a O pi on a a com pa ng Or t al co elofr co d. ni nd c nyi der o 1 uns e r Ent r J y 22,2011 e ed: ul / 'W J-J /. X +/ Z M iha lF. ba ki c e Ur ns U nie St t s D it i tJ t d a e s rc udge '

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