O'Hara v. Astrue

Filing 24

Order that the decision of the Commissioner denying plaintiff's application for DIB and SSI benfeits is REVERSED and REMANDED for further evaluation of plaintiff's alleged mental retardation. Signed by Magistrate Judge Katherine P. Nelson on 9/9/2011. (srr)

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IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION BARRON O'HARA, Plaintiff, v. MICHAEL J. ASTRUE, Commissioner of Social Security, Defendant. ) ) ) ) ) CIVIL ACTION NO. 10-00448-N ) ) ) ) ) ORDER Plaintiff Barron O’Hara filed this action seeking judicial review of a final decision of the Commissioner of Social Security (“Commissioner”) that he was not entitled to disability insurance benefits (“DIB”) and Supplemental Security Income (“SSI”) under Titles II and XVI of the Social Security Act (the Act), 42 U.S.C. §§ 401433 and 1381-1383c. This action has been referred to the undersigned Magistrate Judge to conduct all proceedings and order the entry of judgment in accordance with 28 U.S.C. § 636(c) and Fed. R.Civ.P. 73 (doc. 20) and pursuant to the consent of the parties (doc. 18). Further, the parties’ joint motion to waive oral arguments (doc. 22) was granted on August 31, 2011 (doc. 23). Upon consideration of the administrative record (doc. 12), and the parties’ respective briefs (docs. 14, 15 and 16), the undersigned concludes that the decision of the Commissioner is due to be REMANDED for further evaluation of plaintiff’s alleged mental retardation. I. Procedural History. Plaintiff, Barron O’Hara, filed an application for SSI benefits on October 27, 2006, claiming an onset of disability as of October 13, 2005 (Tr. 105-112). Plaintiff’s application was denied on December 5, 2006 (Tr. 55-64). A hearing before an Administrative Law Judge (“ALJ”) was requested (Tr. 67-69). Following a hearing on January 22, 2009 (Tr. 20-52), the ALJ issued an unfavorable decision (Tr. 9-16). The ALJ determined that plaintiff was not disabled as defined in the Social Security Act (Tr. 16). Plaintiff requested a review by the Appeals Council (Tr. 4-5) which was denied on July 12, 2010 (Tr. 1-3), thereby making the ALJ’s decision the final decision of the Commissioner. See 20 C.F.R. § 404.981 (2009).1 Plaintiff appeals from that decision and all administrative remedies have been exhausted. II. Issue on Appeal. Plaintiff alleges that the ALJ erred in rejecting the opinion of Donald W. Blanton, Ph.D. and determining that plaintiff did not meet Listing 12.05C. III. Statement of Facts. A. Medical Evidence. On July 23, 2008, plaintiff was examined by Donald W. Blanton, Ph.D. at the request of plaintiff’s attorney (Tr. 257). Dr. Blanton conducted a mental status evaluation and administered objective intelligence and academic testing. On the Wide Range Achievement Test (WRAT-III), plaintiff’s scores placed his spelling and arithmetic skills on the second grade level and reading skills on the third grade level (Tr. 259). On the Wechsler Adult Intelligence Scale (WAIS-III), plaintiff achieved a Verbal IQ score of 68, a Performance IQ score of 65, and Full Scale IQ score of 64, placing 1 All references to the Code of Federal Regulations (C.F.R.) are to 1 the 2010 edition. All references to the Code of Federal Regulations are to part 404, which addresses claims under Title II of the Act. All of the cited regulations have parallel citations in part 416, which addresses claims under Title XVI and which are not cited in this Brief. 2 plaintiff in the mild mentally retarded range (Tr. 258). Dr. Blanton considered the scores valid. Dr. Blanton indicated plaintiff was functionally illiterate and put good effort into his work. (Tr. 257-260). Dr. Blanton opined that Plaintiff was markedly limited2 in the following areas: understanding, remembering, and carrying out detailed or complex instructions; using judgment in detailed or complex work related decisions; responding to customary work pressure; and maintaining attention, concentration, and pace for a period of at least two hours (Tr. 260). The record before the ALJ also included an opinion by an individual identified as Robert Estock3, stating that based on his December 15, 2006 review of plaintiff’s medical records, plaintiff had no medically determinable impairment (Tr. 220) . It is questionable, however, whether Robert Estock even considered Dr. Blanton’s opinion or plaintiff’s IQ test scores inasmuch as he made no notation or comment regarding the opinion or the IQ test scores. See, TR. 224 and 232. In addition, there is no indication either that Robert Estock ever personally interviewed or examined the plaintiff or that his review and opinion were relied upon in any manner by the ALJ. B. Other Evidence. Plaintiff testified at the January 22, 2009 administrative hearing that he dropped out of school in the tenth grade and had been in special education since the third grade; 2 Dr. Blanton defined a marked limitation as one that “seriously interfere[s] with his ability to function and perform work related activities on a day to day basis in a routine work setting” (Tr. 260). 3 According to the Commissioner’s counsel, Robert Estock is a psychiatrist. (Doc. 15 at n. 2, citing Program Operations Manual System (POMS) DI 26510.090). The undersigned was unable to verify counsel’s contention that the “Code” designation of “37” (Tr. 220) indicates either that Robert Estock is a physician or that his “specialty is psychiatry.” (Id.). 3 he reported he had trouble focusing and could not do the work.(Tr. 25). Plaintiff also testified he could read and write very little (Tr. 25) and that he could add and subtract very little. (Tr. 27). Plaintiff further testified that that his sister and mother assisted him in completing job applications, about which he was informed by friends (Tr. 27), and his application for disability benefits. (Tr. 44-45). The Physical Activities Questionnaire of November 11, 2006, indicates plaintiff’s sister completed the form. (Tr. 139). Likewise, plaintiff’s sister completed the Daily Activities Questionnaire of November 13, 2006. (Tr. 156). According to the plaintiff, none of his past jobs required any reading or writing. (Tr. 29). Plaintiff also testified that, although he sometimes washes his dishes and sweeps, he never mops and does not do laundry, go grocery shopping or cook other than heating things up in the microwave. (Tr. 38-39). A vocational expert (“VE”), Dr. Patrick Sweeney, testified at the hearing that, based on his “review of the file,” plaintiff’s past relevant work involved “cleaning and janitorial activity” which gave Dr. Sweeney “two choices where I could go.” (Tr. 45). Dr. Sweeney described the choices as follows: VE: . . . One, being commercial cleaner. And he clearly was with a firm that had commercial accounts. But he seemed to specialize in floors and rugs. CLMT: Right.4 VE: And so, there is a well-defined DOT job called rug cleaner. It’s a, it’s a different job than commercial cleaner, but it’s somewhat subsumed under that. Both are medium level exertion and semi-skilled. So, it’s kind of a trade off there, but I’m going to go with rug cleaner. The DOT number 4 Plaintiff had previously testified that he was “a janitor doing floor work and [] lifting heavy equipment like scrubbers and buckets and machines and that.” (Tr. 27). 4 is 361.682-010. Again, medium and semi-skilled. And again, my alternative would also be medium and semi-skilled. So, I don’t think we’re giving up anything there. I believe he worked in a kind of warehouse or industrial setting where he would, I think, be termed a loader/uploader. Maybe loaded trucks and handled goods and – (Tr. 46). In response to the ALJ’s first hypothetical, Dr. Sweeney testified that “such an individual [could] perform other work in the economy” as follows: A job that’s light and unskilled, no documented public contact, repetitive tasks, simple work, is called folding machine operator. And specifically we’re talking paper folding. And although the word machine attracts our attention there, he loads the machine, it runs, he watches, it stops, he unloads the machine. So, he’s not fooling with the machine while, while it’s running. It meets all your criteria. The DOT on that is 208.685-014. In Alabama they show the employment 2190, that’s 2190. And nationwide, 160,000. A, a job, another job, light and unskilled, repetitive, no contact with the public, it’s, it’s slot tag inserter. The work would be like in a, in a firm that distributes mail or is involved with other types of shipping and receiving. And what it is, it’s inserting the address tag into a little holder on the particular stacks of boxes. The DOT on that is 222.567-018. And the employment in Alabama is reported to be over 1270, that’s 1270. Nationwide economy, over, over 150,000. Another job would be light and unskilled. It’s called a checker. Sometimes in the common terms people might call it greeter. You see these folks, like for instance, in Wal-Mart, but not, not restricted there. They’ll validate that the person has paid for their goods and see the items leaving in the buggy. The DOT on that is 222.687-010. Again, it’s light, it’s unskilled. The contact with the public is quite casual. The DOT doesn’t even list public contact as a, as a factor. In Alabama the employment is reported to be over 5700, that’s 5700. And nationwide the economy is over one million. So, that would be three, Your Honor, that would meet your criteria. (Tr. 38-39). In response to the ALJ’s second hypothetical,5 Dr. Sweeney testified as follows: 5 The principle difference between the first two hypothetical questions is that, in the first, the ALJ classified the individual as being capable of performing “light work” (Tr. 47) while, in the second, the ALJ restricted the individual to “sedentary work. (Tr. 49). 5 A job that’s sedentary, unskilled, is in the garment industry. The name of the job is cuff folder. . . Employment – the DOT is 685.687.014. The employment in Alabama is reported to be over 1094, 1094. In the U.S. economy over 50,000. Another job in the optical retail area, lens inserter, as lens in glasses. Sedentary, unskilled. The DOT is 713.687-026. The employment in Alabama is reported to be over 1500, that’s 1500. In the nation, national economy over 100,000. And I’ll do one more. In the, again, in the garment industry, sedentary, unskilled, the job title is puller . . . And, again, it’s turning gloves, for instance, inside out after manufacture. DOT 782.687-030. A little over 1000 employed in Alabama. Over 50,000 in the U.S. economy. So, that would be three at your, at your sedentary hypothetical, Your Honor. (Tr. 49-50). Finally, in response to a third hypothetical, which restricted an individual to being “limited to the degree described by the claimant in testimony today, and also to the degree identified by Dr. Blant[on] in his report of July 23rd 2008” (Tr. 50), Dr. Sweeney testified that such an individual could not “perform the cited employment or any other work in competitive employment” (Tr. 50, emphasis added). C. Administrative Law Judge’s Decision. The ALJ found that Plaintiff had not engaged in substantial gainful activity since his alleged onset date, October 13, 2005 (Tr. 11). She then found that Plaintiff had severe impairments—type II diabetes mellitus with probable diabetic neuropathy, hypertension, history of umbilical hernia with surgical repair and residual abdominal pain complains of uncertain etiology, and adjustment disorder with depression and anxiety (Tr. 11)—that did not meet or equal an impairment listed at 20 C.F.R. pt. 404, subpt. P, app. 1 (Tr. 12). After considering the entire record, the ALJ concluded that Plaintiff could perform a reduced range of light work that involved no more than simple repetitive tasks and casual contact with the general public (Tr. 13). Finally, the ALJ concluded that although Plaintiff’s residual functional capacity precluded him from performing his past relevant 6 work (Tr. 14), he was capable of performing work that existed in significant numbers in the national economy (Tr. 15). Thus, the ALJ found that Plaintiff was not disabled within the meaning of the Act (Tr. 16). The ALJ discounted the opinion of Dr. Blanton regarding plaintiff’s mental retardation on the following grounds: [I]ndications of mild retardation and endorsements of disability benefit entitlement by the claimant’s representative’s source of consultative advocacy are not found to carry any significant weight. The record as a whole contains no evidence supporting a mental retardation diagnosis. This is further supported by the fact that he has semi-skilled past relevant work experience and has no evidence of deficits in adaptive functioning which would suggest mental retardation. However, in viewing the evidence in a light most favorable to the claimant, the undersigned has included the examiner’s (Dr. Blanton) diagnostic impression of an adjustment disorder with depression and anxiety despite the lack of any mental health treatment or allegations of depression and anxiety. (Tr. 14, emphasis added). IV. Conclusions of Law. A. Standard of Review. In reviewing claims brought under the Act, this Court's role is a limited one. Specifically, the Court's review is limited to determining: 1) whether the decision is supported by substantial evidence, and 2) whether the correct legal standards were applied. See, 42 U.S.C. § 405(g); Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999); Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). Thus, a court may not decide the facts anew, reweigh the evidence, or substitute its judgment for that of the Commissioner. Miles v. Chater, 84 F.3d 1397, 1400 (11th Cir. 1996); Sewell v. Bowen, 792 F.2d 1065, 1067 (11th Cir. 1986). Rather, the Commissioner's findings of fact must be affirmed if they are based upon substantial evidence. Lewis v. Callahan, 125 F.3d 7 1436, 1440 (11th Cir. 1997); Chater, 84 F.3d at 1400; Brown v. Sullivan, 921 F.2d 1233, 1235 (11th Cir. 1991). See also, Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990)(“Even if the evidence preponderates against the Secretary's factual findings, we must affirm if the decision reached is supported by substantial evidence.”); Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983) (finding that substantial evidence is defined as “more than a scintilla but less than a preponderance,” and consists of “such relevant evidence as a reasonable person would accept as adequate to support a conclusion[ ]”). In determining whether substantial evidence exists, a court must view the record as a whole, taking into account evidence favorable as well as unfavorable to the Commissioner's decision. Lynch v. Astrue, 358 Fed.Appx. 83, 86 (11th Cir. 2009); Martino v. Barnhart, 2002 WL 32881075, * 1 (11th Cir. 2002); Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986). B. Applicable Law – Evaluation of Medical Opinions. The ALJ must evaluate every medical opinion she receives. 20 C.F.R. § 404.1527(d). In deciding how much weight to give a medical opinion, the ALJ considers the following factors: • The examining relationship between the individual and the “acceptable medical source”; • The treatment relationship between the individual and a treating source, including its length, nature, and extent as well as frequency of examination; • The degree to which the “acceptable medical source” presents an explanation and relevant evidence to support an opinion, particularly medical signs and laboratory findings; • How consistent the medical opinion is with the record as a whole; 8 • Whether the opinion is from an “acceptable medical source” who is a specialist and is about medical issues related to his or her area of specialty; and • Any other factors brought to our attention, or of which we are aware, which tend to support or contradict the opinion. Social Security Ruling (SSR) 06-03p, available at 2006 WL 2329939, at *3. “[W]hen other evidence in the record supports a conclusion contrary to the opinion of an examining physician, the [Commissioner’s] regulations allow the ALJ to reject the opinion of the examining physician.” Warncke v. Harris, 619 F.2d 412, 417 (5th Cir. 1980). See also Marbury v. Sullivan, 957 F.2d 837, 840 (11th Cir. 1992)(“An ALJ sitting as a hearing officer abuses his discretion when he substitutes his own uninformed medical evaluations for those of a claimant's treating physicians: ‘Absent a good showing of cause to the contrary, the opinions of treating physicians must be accorded substantial or considerable weight by the Secretary’.”), quoting Lamb v. Bowen, 847 F.2d 698, 703 (11th Cir. 1988). C. Applicable Law – Mental Retardation. In order to establish disability due to the presence of a mental retardation, a claimant must satisfy the requirements for that listing in appendix 1, which vary depending the claimant’s IQ score. See e.g., Abbott v. Sullivan, 905 F.2d 918, 923-24 (6th Cir. 1990)(Most of the listings for mental impairment contained in appendix 1 impose two requirements: first, that the claimant possess certain particular signs or symptoms which are generally found in paragraph A of each listing and, therefore, referred to as the “A criteria”; and second, that the symptoms result in a specific degree of functional limitation which are set forth in paragraph B of the listings and, therefore, 9 referred to as the “B criteria.”). The listing for mental retardation contained in appendix 1 differs from nearly all of the other listings in that it does not require a claimant to satisfy the “B criteria” in all cases. 905 F.2d at 924. For example, “[t]he listing allows for a finding of disability due to mental retardation where test scores below 59 on the Wechsler Adult Intelligence Scale (WAIS) are achieved, without any direct proof of functional incapacity.” Id. The listing for mental retardation provides specifically as follows: Mental Retardation: Mental retardation refers to a significantly subaverage general intellectual functioning with deficits in adaptive behavior initially manifested during the developmental period; i.e., the evidence demonstrates or supports onset of the impairment before age 22. The required level of severity for this disorder is met when the requirements in A, B, C, or D are satisfied. A. Mental incapacity evidenced by dependence upon others for personal needs (e.g., toileting, eating, dressing, or bathing) and inability to follow directions, such that the use of standardized measures of intellectual functioning is precluded; or B. A valid verbal, performance, or full scale IQ of 59 or less; or C. A valid verbal, performance, or full scale IQ of 60 through 70 and a physical or other mental impairment imposing additional and significant work-related limitation or function; or D. A valid verbal, performance, or full scale IQ of 60 through 70, resulting in at least two of the following; 1. Marked restriction of activities of daily living; or 2. Marked difficulties in maintaining social functioning; or 3. Marked difficulties in maintaining concentration, persistence or pace; or 4. Repeated episodes of decompensation, each of extended duration. 10 20 C.F.R. Part 404, Subpt. P, App. 1 § 12.05. In other words, Mental retardation is significant subaverage intelligence accompanied by “significant limitations in adaptive functioning.” American Psychiatric Ass’n, Diagnostic and Statistical Manual of Mental Disorders 42 (4th ed. text revision 2000) (DSM-IV). Significantly subaverage intelligence alone is insufficient: “Mental Retardation would not be diagnosed in an individual with an IQ lower than 70 if there are no significant deficits or impairments in adaptive functioning.” Id. at 42. An ALJ may disregard standardized IQ test scores, however, where they are inconsistent with Plaintiff’s daily activities and behavior. See Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992); Popp v. Heckler, 779 F.2d 1497 (11th Cir. 1986). Past semi-skilled work is inconsistent with mental retardation. See Outlaw v. Barnhart, 197 F. App’x 825, 827 & n.1 (11th Cir. 2006) (unpublished) (finding semi-skilled work history inconsistent with mental retardation). D. Applicable Law – Listing 12.05C. To meet the criteria of Listing 12.05C, plaintiff is required to establish: (1) a valid IQ score of 60 to 70 inclusive; and a physical or other mental impairment imposing additional and significant work-related limitation of function. Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 18992); 20 CFR 404, Subpart P, Appendix 1, § 12.05C. The “capsule definition” of mental retardation set forth in § 12.05 of the Listings states that “[m]ental retardation refers to a significantly subaverage general intellectual functioning with deficits in adaptive behavior initially manifested during the developmental period (before age 22).” Id. (emphasis added). This capsule definition of mental retardation is fully consistent with the accepted medical standards, which recognize deficits in adaptive 11 functioning as one of the criteria (along with IQ scores of about 70 or below) necessary for a diagnosis of mental retardation. See Diagnostic and Statistical Manual of Mental Disorders – Text Revision (DSM-TR). The DSM-TR further explains: The essential feature of Mental Retardation is significantly subaverage general intellectual functioning (Criteria A) that is accompanied by significant limitations in adaptive functioning in at least two of the following skill areas: communication, self-care, home living, social/interpersonal skills, use of community resources, self-direction, functional academic skills, work, leisure, health, and safety (Criteria B). DSM-IV 39. Thus, an individual with an IQ score lower than 70 does not necessarily satisfy the criteria for a diagnosis of mental retardation. Specifically, “[m]ental retardation would not be diagnosed in an individual with an IQ lower than 70 if there are no significant deficits or impairments in adaptive functioning.” DSM-IV 39-40. See also Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992), citing Popp v. Heckler, 779 F.2d 1487, 1499 (11th Cir. 1986)(holding a valid IQ score is not necessarily conclusive of mental retardation where the score is inconsistent with other evidence of claimant’s daily activities). The burden of proof lies with the plaintiff. See Bowen v. Yuckert, 482 U.S. 137, 146 (1987) (generally, the burden to prove disability in a Social Security case is on the claimant); Flynn v. Heckler, 768 F.2d 1273, 1274 (11th Cir. 1985) (Plaintiff bears the burden of demonstrating that the Commissioner’s decision, as affirmed by the district court, is not supported by substantial evidence.). 12 E. Analysis. In his decision, the ALJ declared that he gave no “significant weight” to Dr. Blanton’s assessment and opinion of mild mental retardation (Tr. 14).6 The ALJ specifically concluded that there was “no evidence supporting a mental retardation diagnosis. (Id.). The Commissioner argues that “the ALJ articulated legally adequate reasons for discounting Dr. Blanton’s opinion [because] . . . Dr. Blanton’s opinion that Plaintiff was mildly mentally retarded . . . was inconsistent with Plaintiff’s daily activities.” (Doc. 15 at 7). However, neither the ALJ nor the Commissioner has delineated in what specific manner plaintiff’s daily activities are inconsistent with a diagnosis of mild retardation beyond reference to plaintiff’s alleged “semi-skilled past relevant work experience.” (Tr. 14; Doc. 15 at 7, 8, 11 and 12). Further, it appears the only basis for the determination that plaintiff’s past relevant work was “semi-skilled” was the testimony of the Vocational Expert, Dr. Sweeney. Plaintiff now argues that the principal basis for the ALJ’s decision, namely the “semi-skilled” nature of plaintiff’s past relevant work, was incorrect or, at the very least, questionable. The undersigned concurs. The Commissioner does not dispute that, within the Department of Labor’s Dictionary of Occupational Titles (4th ed. 1991), otherwise referred to as DOT, there exists a job with the title “commercial cleaner” which is identified as DOT 381-687-014. The listing for this job includes a “specific vocational preparation” (hereafter “SVP”) of 2, which indicates a job that can be learned in one month or less (Tr. 178-179). 6 The ALJ did include Dr. Blanton’s diagnostic opinion that plaintiff suffered “an adjustment disorder with depression and anxiety despite the lack of any mental health treatnment or allegations of depression and anxiety.” (Tr. 14). 13 According to the Social Security Regulations, a job that can be learned in one month or less is classified as unskilled work. 20 C.F.R. 404.1568(a). The Commissioner does not take issue with this contention but, instead, essentially argues7 that, because Dr. Sweeney testified that plaintiff’s past relevant work could also be identified as “rug cleaner,” otherwise known as DOT 361.682-010, which has a SVP of 4 and is thus semi-skilled, the evidence is sufficient to support the ALJ’s finding that plaintiff performed semiskilled work and, therefore, there exists “no evidence supporting a mental retardation diagnosis.” (Doc. 15 at 8-9; Tr. 14). As illustrated above, Dr. Sweeney’s testimony was not so direct or limited. Dr. Sweeney not only acknowledged that the “job called rug cleaner . . . [is] a different job than commercial cleaner” but also stated that, with respect to plaintiff’s past relevant work, “it’s kind of a trade off” because he believed they were both “semi-skilled.” (Tr. 46). Although Dr. Sweeney ultimately “[went] with rug cleaner,” his opinion appears erroneous to the extent he believed them to both be semiskilled jobs. Further, the vocational consultant who completed the Vocational Rationale Form on December 4, 2006, identified plaintiff’s past relevant work as “commercial cleaner” with the DOT number of 381.687-014. (Tr. 157). It is unclear whether, in his review of the record, Dr. Sweeney considered this Vocational Rationale Form. In 7 The Commissioner specifically argues that: It is Plaintiff that is mistaken. The vocational expert testified that Plaintiff had past relevant work as a commercial cleaner, rug cleaner, and loader/uploader, which were all semi-skilled work jobs (Tr. 46). Plaintiff argues that commercial cleaner, DOT No. 381687-014, is an unskilled job with an SVP of 2 (Pl. Br. 3). The only DOT number identified by the vocational expert, however, was DOT No. 361.682-010 (Tr. 46). According to the DOT, rug cleaner (DOT No. 361.682-010) has an SVP of 4, making it a semi-skilled job. (Doc. 15 at 8-9)(citation omitted). 14 addition to the questionable basis for designating plaintiff’s past relevant work as “semiskilled,” there is no indication that the ALJ considered, with respect to her conclusion that there is “no evidence of deficits in adaptive functioning which would suggest mental; retardation” (Tr. 14), the evidence in the record which at least appears to support Dr. Blanton’s opinion. Specifically, the evidence that plaintiff’s sister and mother helped him complete not only the applications he submitted for jobs his friends informed him about (Tr. 27) but his application for disability benefits (Tr. 44-45); that he dropped out of school in the tenth grade after having been in special education classes since the third grade because he had trouble focusing and could not do the work (Tr. 25); that he could only read and write very little (Tr. 25); that he could add and subtract very little (Tr. 27); that he was unable to cook other than heating food up in the microwave (Tr. 37-38), or do his laundry or housecleaning beyond sometimes sweeping (Tr. 38), or go grocery shopping (Tr. 39). Further, the Physical Activities Questionnaire of November 11, 2006, indicates that this form was completed by his sister (Tr. 139). Likewise, claimant’s sister completed the Daily Activities Questionnaire dated November 13, 2006 (Tr. 156). Plaintiff’s testimony during the hearing was consistent with these questionnaires. For the reasons stated above, the ALJ’s decision to reject Dr. Blanton’s diagnosis of mild mental retardation, and conclusion that there exists in the record “no evidence supporting a mental retardation diagnosis” (Tr. 14), is not supported by substantial evidence as required to uphold this decision. There is, however, also insufficient evidence to declare that the plaintiff is, as a matter of law, entitled to benefits. For example, the record in this case contains insufficient evidence regarding the existence of any “deficits in adaptive behavior,” as required by the applicable regulations. See 20 15 CFR 404, Subpart P, Appendix 1, § 12.05C (emphasis added). Consequently, the undersigned must reject plaintiff’s invitation to enter judgment in his favor for benefits (docs. 14 at 5-6 and 16 at 3). V. Conclusion. For the reasons stated above, it is ORDERED that the decision of the Commissioner denying plaintiff’s application for DIB and SSI benefits be hereby REVERSED and REMANDED for further evaluation of plaintiff’s alleged mental retardation. This remand makes the plaintiff a prevailing party for purposes of the Equal Access to Justice Act, 28 U.S.C. § 2412, and terminates this Court’s jurisdiction over this matter. DONE this 9th day of August, 2011. /s/ Katherine P. Nelson KATHERINE P. NELSON UNITED STATES MAGISTRATE JUDGE 16

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