Helm v. Commissioner of Social Security

Filing 21

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

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JUL 22 2 1
21
JUL C.
DUD

A D I A J.H ELM ,
N

BY;
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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
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si rs
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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
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