Dennison v. Astrue

Filing 23

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 11/27/13. (kld)

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t tM s De s n ha no e ha . nni o d t ngag i s tntalganf aci t snceJ nua y 31 201 t ed n ubsa i i ul tviy i a r , 0, he daeofhe al eddia lt ons t ( .21. t r leg s biiy e. Tr ) M s De s fl d ea le a i a i nsf di a lt i ur nce be is a f . nni on ie ri r pplc to or s biiy ns a neft nd or s e nt s c iyi upplme al e urt ncomebe isonFe nl y25, neft b ar 2008.( . ) Thos cai wer Tr 201. e l ms e de e uponi talc ie ai andr c i rton.( .201.Shet nr uetdaX novo nid nii onsd r ton e onsdeai Tr ) he eq se he i a rviw beor a Admi srtveLa J e.( .201.I a opi ondaed arng nd e e f e n nitai w udg Tr ) n n ni t De mbe 18,2009,heLaw J as de e plitf scai .( .201 .M s Demion ce r t udge lo nid anif l ms Tr ) . l s a ppea ed t d ni lofhe c a m sf di a lt i ur nc be ft a f s e e a s ct iy l he e a r l i or s biiy ns a e ne is nd or uppl m nt l e z t r i om e be ft t t Soc a Se urt Adm i sr ton' Appe l Counci, hi h a ed t nc ne is o he i l c iy ni ta i s as l w c dopt he Law J udge' de a ast fnalde ii oft Commisone .( . .Ha nge usedhe s nil he i cson he si r Tr 202) vi xha t r a nitai r me e ,s t na l t de alofhe camst t sc t ( .203) dmi sr tve e dis he he ppeaed he ni r li o hi our. Tr . H oweve ,i a o ni da e J y 1 20l1 t s c ta fr e On t toc ason, s De s n r n n pi on t d ul , , hi our f im d. ha c i M . nni o ha aleg a di a lt ons tda e ofJ nua y 1 2008. The c tf d l ed s biiy e t a r , our ound t tt m e c lr t ha he di a epors c pl t d durng t r l va pe i oftm e s om e e i he e e nt r od i uppored t de e m i t o t tM s Den s n w as t he t r na i n ha . ni o notdia edf alf msofs tnta ganf e o nt ( . s bl or l or ubsa il i ul mplyme . Tr 200-1 . 3) O n M a 1 201 t pl i iff l d ne a i a i f r ape i ofdi a lt a y 8, 0, he a ntf ie w pplc tons o rod s biiy nd dia lt i ur nc beneis andf s plme a s urt i sbiiy ns a e ft, or up e ntl ec iy ncomebe ft.( .281.l he neis Tr ) n r s c s tofa i tons M s De s a l ge t ts be m e diabl d f al f m sof e ond e pplca i , . nni on le d ha he ca s e or 1 or s t nta ga nf e pl e ton J ubs a i l i ul m oym n anua y 31 201 due t de ne a i di c di e e,hi r , 0 o ge r tve s s as p dys a i fbr yal a,o iy,di be e m e lt ,bor ri pe s lt di or r af e tve pl s a, i om gi best a t s lius de lne r ona iy s de , f c i di or r a anxi t d s de . Pl i ifnow m a nt i t ts ha r m a ned di a ed t t s de , nd e y i or r a ntf i a ns ha he s e i s bl o he presenttm e. Ast hercl m f di lt i ur i o ai or sabiiy ns ance beneft t r is, he ecord reveal t pl ntf s hat ai if m ett i he nsured s at r r ent oft Actt ough Decem ber31,2012. See generalv 42 t us equi em s he hr l U. C.jj41 i a 423() S. 6() nd a. M s D e s s c ai sw e e de e u n i ta co i a i n and r co i r to She . nni on' l m r ni d po nii l nsder to e nsde a i n. t nr quet andrc ve aétno he rnga rviw beor a Admi srtveLa J he e sed e ei d vo ai nd e e f e n nitai w udge. l a opi on da e Se em be 22,2011 t La J n n ni t d pt r , he w udge a s de er i t tpl ntf i not l o t m ned ha ai if s di a e The La J s bl d. w udge f ound t tM s D e m i on s f r f om de ne atve di c di e e; ha . l s uf e s r ge r i s s as fbr yagi ;obest ,di t m elt 'a f c i dio de ;a a ey dior r Bec us of i om l a iy' abees lius fe tve s r r nd nxi t s de . a e , t e c tons t La J hes ondii , he w udge r e t tM s De s i di a e f he pas r l va w or ul d ha . nni on s s bl d or r t e e nt k a tviy. How e r t La J ci t ve , he w udge f ound t tpl i ifr t i s fc e f tona c pa t f a ha a ntf e a ns uf i i nt unc i l a ciy or lm ied r nge ofs de a y e ri The La J i t a e nt r xe ton. w udge a s s ed M s D e s sr s dua f tonal se s . nni on' e i l unc i capaciy as f l s: t olow A fe c r f consde a i oft e ie r co d, he u r i d fndst tt t r a e ul i r ton he ntr e r t nde s gne i ha he c ai a ha t r i lf to lca c t t pe f m a r nge ofs de a y wor l m nt s he es dua unc i na pa iy o r or a e nt r k a dei d i 20C. R.jj404.567()a 41 967()i vi lfi or s tne n F. 1 a nd 6. a nvol ng itng c r yi 1 poundsoc s ona l a l s t n 1 poundsf e nty, a r ng 0 ca i ly nd e s ha 0 r que l s a ng/ a ki f a m os 2 ho sdurng a 8t ndi w l ng or t t ur i n hourw o kda st i a r y, itng bout6 ho sdurng a 8- urw or y,a onl occ s ona o r ton off tc r s ur i n ho kda nd y a i l pe a i oo ont ol . She c n f e nty clm b r ps s a r butc o y o as o l clm b a r que l i am / t i s an nl cc i naly i l dde s r / ca f ds ba a e s oop,kne l c ouc orc a l She i a r /opes s f ol , l nc , t e , r h, r w , s m ode a ey lmie i he a lte t unde sa r m e r c ry outdeaied r t l i td n r biii s o rt nd/ e mbe / a r t l i t c i , a nt i a t nton/ nce r ton f e ende pe i ,w or i ns nl tons m i a n te i co nta i or xt d rods kn c r na i w ih/pr xi iy t o he sw ihoutbei dit a t d by t m ,i e a t oo di ton t o m t o t r t ng s r c e he nt r c a o i t l w ih t ge r lpublc a e ti tuc i /r s ppr pra e y t he ne a i , cc p nsr tons e pond a opr a el ppr i t y t c ii i m f o s r s s ge a ong w ih co or r orpe r w ihout o rtc s r m upe vi or , t l t w ke s es t di t a tng t m /e bii beha or e r m e ,r s nd appr pra e y t s r c i he xhi tng vi al xte s e po o it l o cha ngesi t w o k s ti a t a li unf ii rpl c /us publc n he r e tng, nd r ve n am la a es e i t a po t ton. She ha ditc t e w ih r m e be i de aied a c pl x r ns r a i s fi uli s t e m r ng t l nd om e i t i ori or aton,butcan be expect t com pl e a nor alwor week nsructons nf m i ed o et m k pe f r i sm pl r i t ks o a c it ntbas sw ihouta unus lnum ber r o m ng i e outne as n ons s e i t n ua ofa enc s orr qui i a tona br ksout i oft et ca l a ce t bl i bs e e r ng ddii l ea sde hos ypi ly c p a e n t w o k pl c The cl i a ca a s be ex t t i er c w ih ot r he r a e. a m nt n l o pec ed o nt a t t he s oc s ona l Any c nge i t wor ac s d be i r ce s ow l a ca i ly. ha s n he kpl e houl ntodu d l y nd r nf ced w ih s alcues. She shoul w or i an envionm entw ih ltl orno ei or t ever d kn r t ite cont w ih ot . act t hers ( . Tr 23-24) Gi ns harsdua f tona c pa t a afe c i rngpl ntf' ag . ve uc e i l unci l a ciy, nd tr onsde i ai ifs e, e a i and pr orw o k e re e a w e la t s i o f om avoc tona e r , he Law duc ton, i r xpe i nc , s l s e tm ny r a i l xpe t t J e de e m i d t tM s. ni o r t i s tc e f tona ca iy t pe f m s ve al udg t r ne ha Den s n e a ns ufi i nt unc i l pac t o r or e r s ii w or r ese s i i s gnii ntnum b i t na i pec fc k ol xi tng n i fca er n he tonale onom y,i l ng t r e of c nc udi he ol s a s mblr t sufe ,a br a s paaor ( .31.Ac r ngl t La J s e e,oy t fr nd e d e rt . Tr ) co di y,he w udgeuli tl tmaey c l d t tM s D e s i notdi a e a t ts i no e il t be isunde e t r onc ude ha . nni on s s bl d, nd ha he s t ntted o neft r ihe fde a pr a Se 20C. R.jj40 1 g)a 41 920( .TheLaw J e r l ogrm. e F. 4.520( nd 6. g) udge' opi onwas s ni a dopt d a t tna dec s on oft Co m i s one by t Soc a Se urt A dm i sr ton' e s he i l i i he m s i r he i l c iy ni t a i s A p a sCot ci. H a ng e us e a 1a i s r tve r m edi s M s D e s ha a n pe l m l vi xha t d l dm nit a i e e , . nni on s gai appeal t t s court ed o hi . W hiepl ntf ma bedia e f c ran f m sofe o e , hec calf cua l ai if y s bld or e ti or mpl ym nt t nl i a t l de er i ton i w he herpl i t f w a di a e f a 1f ' s ofs t talga nf le pl e . t m na i s t a n if s s bl d or 1 ol m ubsan i i u m oym nt Se 42U. C.j 1 2c( j423( ( .Ther aef elme sofpr whihmus be e S. 38 a) d)2) e r our e nt oof c t c i rd i ma ngs ha a yss Theeee nt aes onsdee n ki uc n nal i. s lme s r ummarz a f l :( )obeci ied s olows 1 j tve me ca f t a clnia fndi ;( t opi o a co usonsofte tngphysca ;( di l acs nd i c l i ngs 2) he nins nd ncl i rai iins 3) s j ci e de eofph ia ma f ttonsofi r nt, desrbe t oug acai nts ub e tve vi nc ysc l niesai mpaime s as ci d hr h l ma ' t tmony;a ( t cli ntse ai vocai lhit ', e i ls ls a a Vie v. esi nd 4) he ama ' duc ton, tona sol r sdua kil, nd ge. tk y Fi h,438F. 1l 11 -60( h Ci.1 ) Unde woodv.Ri co f298F. 850,851(t nc 2d 57, 59 4t r 971; r bi f, 2d 4h Ci.1 . r 962) A f e r vi ng t r or i t sea e, he c t sco tai d t c l t tt t r e ewi he ec d n hi s t our i nsr ne o onc ude ha he Co misone ' de a ofpl i ifsa ia i f rdiabiiy i u a ebene isa m s i r s ni l antf pplc tons o s lt ns r nc ft nd s pl m e a s c iy i om e i nots up e nt l e ur t nc s uppored by s t ntale de e. The La J t ubs a i vi nc w udge' s de e m i ton t tM s D e s sphvs c i paim e sa e no s s ve e ast r t r na i ha . nni on' i al m r nt r t o e r o ende he r r di a ed f a lf r s ofw or a tviy i c ea l s po t d by s t n i le de e. H ow e r s bl or 1 o m k c i t s l ry up r e ubs a t a vi nc ve , whet t Law Judge' eval i ofM s.Denni snon- i i paim ent i al her he s uaton son' phys cal m r s s so s upport by s t i evi ed ubsantal dence pr ent a cl erqueston. Si t tm e t herearler es s os i nce he i hat i cl m sw er deni M s.Denni hassoughtand r ved addii ai e ed, son ecei tonalteat entf her r m or e o i c ton.Thene r po t doc ntwor e ng s m pt m tonal ondii w e rs ume s ni y oms.Uli t l bas d on t tma ey, e he m e c r co dsa es i M s D e s s c r ntps hi t i lm ia i , he co tfndst t di al e r ddr s ng . nni on' ur e yc a rc i t tons t ur i ha t Com m i s one ' fnalde i i i nots he si rs i c s on s uppored b s t nta evi nc t y ubs a i l de e. M s De s c r i di nos si l i bi a dior r afe tvedior r an ey/ . nnion a res ag e ncud ng polr s de , f c i s de , xit pa c di or r a a t nton de i i d s de . Tw o tea i ps hi ti t ,Dr Li ht ra D r ni s de , nd te i t c t i or r r tng yc a r s s . g ne nd . Al f r have pr de e , oduc d m e als a usfndi a opi onsw hi h i c t t t pl i if e nt t t i ngs nd ni c ndi a e hat he a ntf s f r f om t a ke ' ufe s r i r d' nonm phys c lm ia i i m a n a ni bo h û oc alf toni 'a i al i t tons n i t i ng t t i unc i ng' nd s û once rton,pe sse e, pa .'( . ,1 .A t r te tngps hitit Dr W i a k c ntai ritnc or ce' Tr 941 228) hid rai yc ars, . dr, de crbe he a ha ng i hr c di tc te w ih c enta i a t nto a s tt r s i d r s vi ç oni fi uli s t onc r ton, te i n, nd hor -e m c me y. ( .1 .TheAdmi srtveLaw J mor ' Tr 205) ' nitai udgedic edt s te tngps hitit' s ount he e r ai yc arss r pors a r le ex i ty o r porsf om no exa i ng sa e age y ps hol i t ,i e t , nd e i d plcil n e t r n- m ni t t nc yc og s s n fndi t t pl i ifpos e s s t r i alf tona c pac t t pe f m a lm ie r nge of i ng hat he a ntf s s e he esdu unc i l a iy o r or i td a s de t r wor e nay k. Thec tc l st tt La J e' opi on i i onsse wih t go r ng our oncude ha he w udg s ni s nc itnt t he veni a i s r tve r gul to , nd t tt Com m i s one ' t e t e ofpl i if s m e a hea t dm ni ta i e a i ns a ha he s i r s r a m nt a ntf ' nt l lh c ton i nots ondii s uppore by s bs a i le de e.l e t c ' be i ve t tt La td u t nta vi nc nde d, he oul le s ha he w t J udge' r la on t s a e a nc ps hol c r por si es c a l s pe t gi t tt s e i nce he t t ge y yc ogi al e t s pe i ly us c , ven ha he r or r vi e spr ec d e ew r oduce t rr pors a opi onsprort r ce vi a 1e de a iabl d hei e t nd ni i o e i ng 1 vi nce va l e f om M s D e s st e tng ps hi t it ,a r i he viy upon a c ula i r vi w r . nni on' r a i yc a r s s nd eled a l ons t tve e e co pl t d m o e t n one yea prort M s D e s s ne a c r nta l ge di a lt o e m ee r ha r i o . nni on' w nd ur e le d s biiy ns t da e. t Furhe ,t La J t r he w udge e i il r le on t tm ony f o a voca i le r i tndi xplc ty e i d esi rm tona xpe t n i ng t ihecai nti c pa eofma ngas c sula j t ntt ot rwor t te ssi hat' l ma s a bl t ki uc esf d usme o he k ha xit n sgniia numbesi t nainale onomy.'( .31.Howe r t hy heialque to i fc nt r n he to c ' Tr ) ve,he pot tc sins 5 pos t t voc tona expe ta t or he rngdi no a qua e yco i rM s De s s ed o he ai l r t he al a i d t de t l nsde . nnion' non-xe tonallmiato .( . -74) l deemi ngt ts fce j e s frt e ri i t ins Tr 73 . n tr ni ha ufiint obs xit o he cai nt t voc tona e pe t i e onl hy he ialst tonsi whih M s De s l ma , he a i l x r consder d y pot tc iua i n c . nnion ha k lm i i a lt t m ai ai a t nton and c e r ton f e e d pe i ' a S d c i t n biiy o no nt n te i onc nt a i or xt nde r ods ' nd t no lmi i a lt t wor i coo di tonwih(t rl' ( .74) M s De s clal s fr i t n biiy o k n r nai t ohes. Tr . . nnion e ry ufes ' fom m e a i pa r e st tafec he conc nta i a s i lf toni Fort sa tonal r nt l m i m nt ha f t r e r ton nd oc a unc i ng. hi ddii r a on,t c tc udest tt Com m i s o r sde e m i ton i nots e s he our oncl ha he s i ne ' t r na i s uppored by t s t ntale de e. M or ove ,t c tfndst tt r cor i l ng a lr por sf om t ubs a i vi nc e r he our i ha he e d, nc udi l e t r he t e tng ps hi t i t ,c e ry es a i he t ta a r s tofhe ps hi t i c ton,t pl i if rai yc a rs s l a l t bls s ha s e ul r yc a rc ondii he a ntf cmm otpe f r e n t lgh s de a y w or whi h s i o he w i e phys c ly ca bl of r o m ve he i t e nt r k c he s t r s i a l pa e pe f r i A c or ngl t cour c l st tM s D e s m ha m e t bu den ofpr i r o m ng. c di y, he t onc ude ha . nni c s t he r oof n es a i hi t aldi a lt f al f m sofs t nta gai ule pl e t t bls ng ot s biiy or 1 or ubs a i l nf m oym n . The r co d s st tDr J f r y Li ne , ps a r s wih RM H Be or lHea t e r how ha . e f e ght r a ychi t it t havi a lh, te tdM s De s f s vealye r a me wihhe ona las eghtspaaeoc asons ( . rae . nnion or e r a s nd t t r t e t i e rt c i . Tr 937 .Shorl bef et rl n peid, Nove r25,2009,Dr Li ne i c t i a ) ty or he eeva t ro on mbe . ght r ndiaed n M e a I nnen Quesinnaiet tM s Dennio s fr fom ' r df tona ntl mpai t to r ha . s n ufeed r ç ke unci l ma lm ia i ' i m ai ai ng bot is i lf toni ' nd C onc nt a i pe s s e e,orpa e.' i t tons' n nt ni h loc a unc i ng' a c e r ton, r it nc c c ' ( . 1 .Dr Liht rnot t ti Tr 94 ) . g ne ed ha s moodsa lt hag be difc tt at ndes t hi tbiiy dl en fiul o tai pie gh dos s ofm e ca i ns' a he alo i c t t tM s De s w a una e t m ee co pe ii e di to ,' nd s ndi a ed ha . nnion s bl o t m ttve sa r i û i anlngjatnto f (jt hours me s ( nt nlngjr a tndads n l nti i te in or a woma eg nt' k ai i egulr ' mai at tendmwe, û kgng)i c r nai wihorpr xi t t ohes'a ûmdesa i qa ' t i n oo di ton t ' wor o miy o t r,' nd t rtndtng nd t r mbe gng ve ys ta smpl i tucins' ( . 7, .Dr Liht rf t rrpore eme ri ) r hor nd i e nsr to . Tr 93 939) . g ne urhe e td ' t tM s Dennio ha û fiuly ( t me r a co ntai '( .940) ha . s n d i fc t wihq moy nd nce rton. Tr di ' . 6 Be nni on M ar h 11 201 a t rD r Li ht erl f t pr tc ,M s D e s gi ng c , 0, fe . g n e t he ac i e . nni on c i d he t e t e atRM H Be vi a H e t w ih D r Ra ond A l f r a her ontnue r r a m nt ha or l alh t . ym de e , not ps hitit ( .1 4) Pli ifconi t seDr Al f o argul ba i,me tngwih yc ars. Tr 22 . antf tnued o e . deer n e ar ss ei t hi e r oneand-- l t t eemont .( .1 ) Dr Al frsnot fom J 1 201 m vey - ahaf o hr hs Tr 224 . . dee ' es r une 9, 0 de c i M s Demion ase iy a tt d,a t y i caet ts r pore s f rng fom pa c s rbe . r s asl giae nd he ndi t ha he e td ufe i r ni atc t t t eetmespe we k.( .9 ) ta ks wo o hr i r e Tr 49 .Howe r t notsalor lctt tM s ve ,he e s efe ha . Dc s c ri aSai'afec a iogi l'i ohee 't nnion ared i r' f t nd ' ca, ' rnt'houghtpr ses ( .9 ) Shorl f l 'c oce s . Tr 49 . ty t r fe , J 30,2010, r Al f rr por e t tM s Den s C e r t ts m e i he ea t r on une D . de e e t d ha . nion ' a s ha o one s f wa c ng herc put re n w he i i of , f a ed ( he hous w ilc t h on fr ' a f l t t t hi om e ve n t s f' e r C ' t e l ac ie, nd e t ha ' C o t ngba i goi t ha n. ( .1 .Heas rpore t tt cli ntsmoo i mehi d s ng o ppe ' Tr 235) s ' lo e td ha he ama ' ds weeu tbl ( .1 .M s De s n sw Dr Al e a i o Augus 27,201 Att t r nsa e. Tr 235) . nnio a . defr gan n t 0. ha tm e he i c t d t ts w a co u ed a utwhe t t ke he m e c tons a t ts d d not i , ndi a e ha he s nf s bo n oa r di a i , nd ha he i kno t c rc dos ( .11 .Heas rpore t the moodwa C w he ore t age.Tr 96) lo e td ha r s' down, noi t t ' tng ha ' s ha û he d l da a notg ddays' ( .1 96 .Agan,her tdadar'afcta good ys nd oo . Tr 1 ) ' i epore t i' fe nd f ûogi l'i oheent'hough pr ese .( ,11 ) t ca, d r 't l 'c t oc s s Tr 96 . O n Se e be 9,201 Dr Sa a Fr nc s a sat age y ps hol s , pl e a pt m r 0, . ndr a i , t e nc yc ogi t com et d D i a lt De e m i ton Expl na i n f r i whi h s c nc ude t tM s Denni o s f r d s biiy t r na i a to o m n c he o l d ha . s n uf e e f om ' ode a e 'f to llm ia i i m a nt i ng bot ts a f toni ' nd r k m r t ' unc i na i t tons n i a ni h soci l unc i ng' a û nc ntai pesse e, pa ev ( .1 ) I f mi he opi on, . a i rviwe t e r ton, ritnc or c ' Tr 42 . n or ng r ni Dr Frncs e e d co ' t r or i M s Denni on' c e bu di notphys c l e m i t c a m a . The m os r ce he ec d n . s s as , t d i aly xa ne he l i nt t e nt pi eofe de er e wa daedAugus 1 201 ( .1 3) Not y,t e de ec vi nc eviwed s t t 7, 0. Tr 3 . abl he vi nce r vi e di noti l l t rr pors fom M s Denni on' tea i physci ns Dr A l e a e ew d d nc ude a e e t r . s s r tng ia . def r nd Dr W i a f ndi t tt cl i a s f r d f om tm a ke 'f t o llm ia i i . dr i ng ha he a m nt uf e e r l r d' unc i na i t tons n m a nt i ng bo h ds i lf toni ' i onc t a i n, s s e e, pa ey a t tt i a ni t soc a unc i ng' and s en r to per i t nc or c ' nd ha he c ' 7 c a m a s f r d f om t hr c difc tesw ih c e r ton, te i a s t e m l i nt uf e e r d oni f i uli c t onc nta i a t nton nd hor t r memor ' ( .1 1 ) y.' Tr 205, 228 . A fe r vi w i t a ia e r c d,Dr Fr nc sde e ne t tM s D e s w a no t r e e ng he va l bl e or . a i t nui d ha . nni on s t dia e ( .1 .Spe iialy, hef ndt twhieMs De s sd ntlc to ( ) s bld. Tr 50) cfc l s ou ha l . nnion' d a ondiins had me afctd ( ja lt t pef m s mea i tes'i udi wor s ha donei t pa ts fe e her biiy o ror o ctvii ,'ncl ng k he d n he s, he s ul ne r he es be abl t û olow s m pl die to , nd pe f r s m pl ,r utne wor ' ho d ve t l s e o û l i e r c i ns a f rom i e o i k, ' ( ,1 ) I maki t sdeemi ton, .Fr i ga 'g e tweg 't ame a saus Tr 51 . n ng hi tr nai Dr ancs ve tr a iht'o ntl tt e l ton pe f m ed by Dr Lee who had c nd t d a o tm e i pe s ps hi t i va ua i r or . n, o uc e ne-i , n- r on yc a rc i er e on J nua y 1 2009- m or t n o ye rprort t a l ged di a lt ons tda e. nt vi w a r 4, e ha ne a i o he le s biiy e t ( .1 . Tr 43) On J nuar 24, 1, t rs a e a nc ps hol s ,Dr N a y H e s ,s m ia l a y 201 ano he t t ge y yc ogit . nc i er i l ry f und t tM s Denni o s f r fom t ode at ' fm c i llm ia i i m a nt i ng bot o ha . s n uf e ed r l m r e ' t tona i t tons n i a ni h ioci f to ng'andS once rton, ritnc o pac ' ( .1 .Dr Hesr t ga s al uncini ' l ntai pesse e, r e. Tr 65) . ie ,oo, ve s c ' Dr Le n' opi o w hi pr da e t a l ge di a lt ons td t by m o e t n a ye r . e s ni n ch e t s he le d s biiy e a e r ha a ( ra weg ta ii c n itn wi teme ia fn igsa dtemao i o cama tsc re t l e t ih s t s o sse t t h d c l idn n h j rt f li n ' u rn g h y ( ntlr iua f tona c pa t , ( .1 ) me a esd l unci l a ciyj' Tr 67 .Howe ,s ga t mor r c nto ni of ' ver he ve he e e e pi on Dr Li t r pl i if st e tng phys c an f r s ve a ye r , ii erwei bec us i i f om . gh ne , a ntf r a i i i o e r l a s S ght l ght a e t s r ove aye ra ' ( .1 ) Li t frtsaea nc ps hol s,Dr Hesrdi no ha t r a go.' Tr 67 . ke he is tt ge y yc ogit . ie d t ve he oppor uniy t r vi w a lr por sby M s D e s sot rte tng ps hi t i t ,D r Al f ra t t o e e l e t . nni on' he r a i yc a r s s . de e nd D r W i r ,w hi h des r be t c a m a ' s ve e co e r ton a s i lf toni lm ia i . . da c c i he l i nt s e r nc nta i nd oc a unc i ng i t tons The m os r ce pi e of e de r vi w e by D r Heierw asda e J nua y 1 2011. t e nt ec vi nce e e d . s t d a r 0, O n A pr l22,20l1,M s.D ennion com pl ed an i ake as m entatt Hanis i s et nt sess he onRocki ngham Com m uniy Ser ces Boar RM H Behavi H ealh r er ed M s.D el i on t t t vi d. oral t ef r m s o he Com m uniy Servi Boar becaus s w as unabl t af or contnued teat entatRM H t ces d e he eo f d i r m 8 Be vir lHe t wihoutfna a a ssa e.( .1 .Sher poredi ghlvesof ha o a alh t i ncil sitnc Tr 208) e t s hi e l a ey,'kria lt a paa a, a Srque a s veemoods ngs' ( .1 ) She nxit 'iirtbiiy nd rnoi ' nd û e nt nd e r ' f wi .' Tr 208 . a s r pored t i f c ntdifc t w ih he a lt t c e r t ' nd hers tt r m e or l o e t i gnii a s f i uly t r biiy o onc nt a e' a hor -e m m y. ( .1 .Fo e mpl,s dor g t ngslkehow t s lhernamewhiesgni ac c ' Tr 208) r xa e he ç gotl hi i f o pel l i ng he k, ' iba i m a h w he co i m oney, ort t' he wasdrvi w hie i t m i tofdoi s ' û sc t n untng ' ha d ' s i ng l n he ds ng o. ' ( .1 .Thecouns ornot t tM s De s l s aye ma rpeii get e a Tr 208) el ed ha . nnion û pl d ny e ttve surs nd di move nt du i t c s oft i a ' ( .1 ) ' wa una et manti e me s rng he oure he ntke. Tr 209 .kShe s bl o i an ye ' c t tf m or t n a f w s co a a tm e a s nta s g fc ntpori n oft s s i on ac or e ha e e nds t i nd pe i nii a to he e s on la ngove wihherhe ddownfcngt toor' ( .1 . e ni r t a a i he l . Tr 209) ' O n M a 27,2011 pl i tf m etw ih D r K e t W i r a ps a r s w ih t H a rs y , a n if t . nne h d a, ychi t it t he r i on- Roc ngha Co ki m mmuniySeviesBoad.( .1 t rc r Tr 205-07) Dr W i anot t tM s De s . . dr ed ha . nnion S i dlt e s anxit nea pa c,irtbiiy,paa a a a ttdde esi 'i û nueg o ndore ey, r ni ria lt rnoi, nd giae pr son,'n cont addiint t hr cdifc teswihc enrton,atntona s ttr me y .... ( . to o s oni fiuli t onc tai te i nd hor em mor c ' Tr ' 1 ) Uponi eviwi t cama ,hef 205 . ntr e ng he li nt ound: She i fdg y,r ksa bi,a ps chom ot ag t ton i p e e . She i ir t bl , s i et oc t nd y or ia i s r s nt s r ia e gua dedsa m idl pa a d t ough t i t l e w ih l fusr ton t e anc r nd l y r noi hr he n ewi w t ow r t a i ol r e. . . . M ood i de e s d a s pr s e nd i t bl ....Cog ton i gr s y i a t but ni a e nii s os l nt c , concentaton and atenton ar poor. r i t i e ( .1 . Tr 206) M s D e s r t r d t te w ih D r A l ef ri J a J y, 1. D urng t tm e, . nni on e u ne o r at t . d e n une nd ul 201 i hat i he r por e t the ûs r s l ve sa e r a i l hi ' a t ts c n be ( r ia e'orG a ' e t d ha r st e s e l r el tve y gh, nd ha he a ' t rt bl ' û d ' i s butt tiohe tme ,k ha kt r i s nobodyc nsop g r felngha ''( .1 ) noe t ts ha a t hel e i ppy.' Tr 234 .He td ha he d r c nty s f r a m a c e s l s i s ve alwee , i w hi h tm e s be i ve her el e e l uf e ed ni pi ode a tng e r ks durng c i he le d s f t ha s r o ve upehuma powes ( .1 ) Sheas expli dt DrAl frt ts ha l the n r. Tr 231. lo ane o . dee ha he d os r ca hirj b ove oneyea prorbe aus s Co g how t ma c se o r r i c e he t r ot f o ke hange l tco ntai had ,os nce rton, pa catcks a t ni ta , nd houghtghe c t r weetl nga he.'( .1 l. t l usome s r aki bout r' Tr 23 ) 9 OnJ y27, 1 Dr Al fri c tdi aM e all ime Quesi iet tM s ul 201 , . dee ndiae n nt mpar nt tonnar ha . D enni s f ed f om im ar f i son uf er r t ked unctonallm iatons' i m ai ai ng bot ts alf i ng' i t i 'n nt ni h toci unctoni ' a t e rton, ritnc o pa e. ( .1 ) Heec dDr Li ne' fndi fom nd û ntai pesse e, r c ' Tr 228 . conc ' hoe . ght rs i ngs r N ove be 2009, i t tM s D e s w asuna e t m ee c pe ii s a r i m r notng ha . nni on bl o t om ttve t nda ds n C i angng at i f g1t hours g nt't nti i rgulratnda ,' nd t nti i j tenton or a woma e me , i anlngl e a te nce'a ' mai û rtndgngla rme lngjveys ta smpl i tucins' ( .1 .Hi t sa i nd e mberi unde r hor nd i e nsr to . Tr 226) s ' e l ton ofM s Denni on' a lt t C or i c di ton w ih orpr m iy t o he s ' va ua i . s s biiy o t k n oor na i w t oxi t o t r ' deei ae s ht ts ha d us f a lt t fncin, ( .1 ,Hef t ri c td trortd uc ha he d d eul biiy o u to ' Tr 226) no ' urhe ndiae t tM s D e s ha ino us f a lt ' o û om pl e a nor a w or y a w or e k ha . nni on d d e ul biiy' t i c et m l kda nd kw e wihouti er i fo ps hol c l ba e s oms' ( .1 .M s De s t ntruptons r m yc ogialy s d ympt . Tr 226) . nnion ' c i d t tea w ih Dr A l e f rt r m a nde of2011 a t oughout201 wihou ontnue o r t t . def r o he e i r nd hr 2 t t s g fca ti pr ve en . i nii n m o m t A spr vi l not d,t Co m i s one di c e t tea i ps hi ti t 'r po t , e ousy e he m s i r s ount d he r tng yc a r s s e r s and r led e i il on r por sf om t non- xa i ng s a e a nc ps hol s s i fndi t t e i xplc ty e t r he e m ni t t ge y yc ogi t , n i ng ha t pl i ifpos es e t r s dua f tonalc pa t t peror a lm ie r nge o s de a y he a ntf s s d he e i l unc i a ciy o f m i t d a f e nt r w or The La J k. w udge de e m i t tt non- xa i ng ps hol s s r por ss d be t r ned ha he e m ni yc ogi t ' e t houl ta f de co i r bl weght'sncet we e k onsse wih a s kfor d nsde a e i ' i hey r ç it nt t nd uppore by t o he c td he t r e de ofr c d,ncudi te t ntnots' Tr 29) Theopi o ofDr.Li ne a vi nce e or i l ng rame e. . . '( nins s ght r nd Al e wer gi n û sgniia weght'a diteweght'rs ci l ( .28 .The defr e ve i i fc nt i ' nd ktl i , epe tvey. Tr -29) no l ' Law J udge not t tDr W i a pe f m e a ps hi t i e ua i oft c ai a ,bu di not ed ha . dr r or d yc a rc val ton he l m nt t d i c t t wei gi t hi fndi .( . . ndiae he ght ven o s i ngs Tr 27) H avi r ew ed t r d,t courti unabl t concl t t Law J ng evi he ecor he s eo ude hat he udge' s teat entoft report and opi onsf om t teatng psychi rst ort Law Judge' r i r m he s ni r he r i at i s, he s elance on t r t ofnonhe epors exam i ng s at agency ps ni t e ychol s s,com por w ih t r r ent of ogit t t he equiem s 10 t a i sr tve r gul tons de lng w ih t e l ton ofo ni e de e. Unde 20 C. R. he dm ni ta i e a i ai t he va ua i pi on vi nc r F. j40 15 c( ) ii e iil pr de t t ge r l mor wei wilbegi n t t 4. 27()1 ,t s xplcty ovi d ha, nealy, e ght l ve o he opi onofamedials c whoha acualye mi dt cai nt Mor ove,20C. R.j ni c our e s t l xa ne he l ma . e r F. 404. 27( ( )die t t tge r ly, ewei i gi nt o ni ofteai s c , i e 15 c)2 rcs ha, ne al mor ght s ve o pi ons r tng oures snc s h pr es i sar m or lke y t pr de a det ie l ngiudi lpi t e oft cl i a ' uc of s onal e e i l o ovi a l d, o t na c ur he a m nt s me ca i ime s nal unde 20C. R.j404.527()5) i i notdt tmor weihti di lmpar nt.Fi ly, r F. 1 c( ,t s e ha e g s ac or t t opi on ofa s ci ls aboutm e c lis s r l t d t t a ea ofs c a t c ded o he ni pe a i t di a s ue e a e o he r pe i ly. l t i t ntc s i i c ea t tDr Li t r Dr Al f r a D r W i r a t ly s w n he ns a a e, t s l r ha . gh ne , . de e , nd . d a c ua l a M s.Denni on s aloccasi wher t st e agency ps son ever ons, eas he at ychol s s have nevers or ogit een exa i d t pl i if M or ove ,t r c n be no quesi t tD r .Li ne ,A l f r a m ne he a ntf . e r he e a ton ha s ght r de e , nd W i a qualf astea i s c .Pe ha m os i po t nty, he e i a s t ntalc r t dr iy r tng our es r ps t m r a l t r s ubs a i ontas be wee t qua ii a i ofDr Li ht r Al f r a W i a a t e o t s a e a ncy t n he lfc tons s. g ne , de e , nd dr nd hos f he t t ge ps hol i t . The t e tea i phys c ansea h ha a m e c ls ci t i ps hi ty. The yc og s s hr e r tng ii c ve di a pe aly n yc a r s a e ag ncy ps tt e ychol s sa e no physci ns Fi ly, nd s g fc nty, he ps a r s s ogi t r t i a . na l a i nii a l t ychi t it ' opi ons a e c i t ntw ih t i c i ca fndi a i pr s i . I s h c r u s a s t ni r ons se t he r lni l i ngs nd m e sons n uc i c m t nce , he c tdoe notbe i ve t tt La J our s le ha he w udge' r i nc on t r por soft non- xn i ng s ela e he e t he e m ni ps hol i t c n be de ed t be s yc og s s a em o uppor e by s t nta evi nc td ubs a i l de e. The c tc i our ontnuest bele t te ri rr pors f o M s D e m i on' t e tng o i ve ha a le e t r m . l s s rai ps hi t i t ,pa tc ary D r Li ne ,a e i ons sen wih pl ntf sa t ll velofa tviy a yc a rs s r i ul l . ght r r nc i t t t ai i f c ua e ci t t t tmeofe uai ( . .Howe r t c t ncudest tt ltrrporsfom M s he i val ton. Tr 206) ve ,he our co l ha he ae e t r . D e s s te tng ps hi ti t ,s er lofw hi h w e e r e ved a t rt sa e ag y nni on' r a i yc a rs s ev a c r ec i f e he t t enc ps ychol st r ew ed t r d,cl l esablsh t pl ntf doesnotpossesst abiiy t ogi s evi he ecor eary t i hat ai if he lt o c enta e orpay a t n i t t w o k t s e s o d by t voc tonale r . Addii na l onc r t t e ton o he r a ks nvii ne he a i xpe t to ly, be aus t vocai lexpetse ngl ha ditc t i ntf ngatr t j e nundert c e he tona r e mi y d fi uly de iyi lenae obs ve he h p teia p o i d tec t'fn sta t eeaen s e ii j b wh c e iti ten to a y oh t l r vde ,h out id h t h r r o p cfc o s ih x s n h ain l c e cono y t ta pe s w ih t cl i a t s e ri nala non- xe tona lm ia i c d m ha r on t he a m n ' xe to nd e r i l i t tons oul pe f m . A c or ngl t c tc l r or c di y, he our onc udest tM s D e s ha m e t bur n ofpr i ha . nni on s t he de oof n esabls ng t aldi lt f a1 f m s ofs t i gai ulem pl ent t i hi ot sabiiy or 1 or ubs antal nf oym . The c tr cogni est tM s De m i on' co to hasgr ualy de e i a ed o ra our e z ha . l s s ndii n ad l t r or t ve pe i ofye r . Cons r od as eque l e t bls ng t pr c s da e ofdi a lt ons ti dit c t The nty, s a i hi he e i e t s biiy e s fi ul. c t t t tM s D e s a i d f a r ce ve une pl e be ft be w e n our no es ha . nni on pple or nd e i d m oym nt ne is t e N ove be 201 a Aug t2 1 i c tng t td i t ttm e perod, he w a c pa e m r 0 nd us 0 1, ndi a i ha ur ng ha i i s s a bl , wilng,a a et wor ( . .Ac or ngl t c ttndst M s De s be me li nd bl o k. Tr 43) c di y,he our i hat . nnion ca di a e a ofSe e be 1 2011 s bl d s pt m r , . Fo t r as nss a e t c ur i c t a ned t c l t tt Com m i s one ' fna r he e o t t d, he o t s ons r i o onc ude ha he si rs i l de s on i nots ci i s uppore by s t nta e de e. The de e nt sm o i f s m a y td ubs a i l vi nc f nda ' ton or um r j d me t tt eeo e b d ne .Up ntetn igt a t epanif a me t eb r e o u g n mus,h rf r , e e id o h i dn h t h litf h s t h u d n f pr a prs rbedbya purua tt t Ac,udgme wilbee eedfrt pli if The oof s e ci nd s n o he tj nt l ntr o he antf. fnalde i i oft Com m i s one w ilbe r ve s d a t c s r om m it t t i c s on he si r l e r e nd he a e ec ted o he Co si n rf rc mp tto a da r o a p o raeb neis A j d me t ndo d ri mmiso e o o u ain n wad f p r p it e ft. u g n a r e n c or iy t r w ih w ilbe en e e t sday. onf m t he e t l t r d hi The Cl r i diec e t s nd c rii d c esoft sopi on a t a compa ng or r e k s r t d o e e tte opi hi ni nd he c nyi de t al couns ofrecor o l el d. ENTER:Thi 39 &da ofNove r s y mbe , 2013. 4. . t , Chi Unied St es Di t ctJudge ef t at sri

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