United States District Court, M.D. Pennsylvania
REPORT AND RECOMMENDATION TO DENY PLAINTIFF'S
APPEAL DOCS. 1, 9, 10, 13, 20, 21
B. COHN UNITED STATES MAGISTRATE JUDGE
February 27, 2012, Steve Stephens (“Plaintiff”)
filed as a claimant for disability benefits under Title II
and XVI of the Social Security Act, 42 U.S.C. §§
401-433, 1382-1383 (“Act”) and Social Security
Regulations, 20 C.F.R. §§ 404 et seq., 416 et seq.,
with a last insured date of September 30, 2014,
claimed a disability onset date of April 25, 2011.
(Administrative Transcript (hereinafter, “Tr.”),
the claim was denied at the initial level of administrative
review, the Administrative Law Judge (ALJ) held a hearing on
January 29, 2014. (Tr. 33-57). On May 15, 2014, the ALJ found
that Plaintiff was not disabled within the meaning of the
Act. (Tr. 10-32). Plaintiff sought review of the unfavorable
decision, which the Appeals Council denied on September 14,
2015, thereby affirming the decision of the ALJ as the
“final decision” of the Commissioner. (Tr. 1-5).
October 14, 2015, Plaintiff filed the above-captioned action
pursuant to 42 U.S.C. § 405(g) to appeal a decision of
the Commissioner of the Social Security Administration
(“SSA”) denying social security benefits. (Doc.
1). On December 22, 2015, the Commissioner
(“Defendant”) filed an answer and an
administrative transcript of proceedings. (Doc. 9, 10). On
February 4, 2016, Plaintiff filed a brief in support of the
appeal. (Doc. 13) (“Pl. Brief”)). On April 25,
2016, Defendant filed a brief in response. (Doc. 20
(“Def. Brief”)). On May 2, 2016, Plaintiff filed
a reply brief. (Tr. 21 (“Reply”)). On November 8,
2016, the Court referred this case to the undersigned
Relevant Facts in the Record
Education, Age, and Vocational History
was born in August 1968 and classified by the Regulations as
a younger individual at the time of the ALJ decision. (Tr.
26); 20 C.F.R. § 404.1563(c). He had a GED and past work
experience as a dishwasher/kitchen helper, prep cook,
painter, and laborer for a cemetery and for a grocery store.
(Tr. 52, 174, 183-90, 227-31). Plaintiff asserts that he is
disabled due to several impairments, including low back pain,
bilateral knee problems, PTSD, depression, paranoia, suicidal
ideation, and violent outbursts. (Tr. 173). Earnings reports
demonstrate that he earned three to four quarters of coverage
from 1988 to 1999, 1992 to 1998, 2000 to 2001, 2004 to
2009. (Tr. 165).
Relevant Treatment History and Medical Opinions
April 25, 2011, Plaintiff sought emergency room (ER)
treatment for right knee and for low back pain after he was
struck on the front side of his right knee by a car. (Tr.
250-58). X-rays of Plaintiff's right knee showed a small
effusion with no fracture or dislocation. (Tr. 259). He was
diagnosed with a right knee contusion. (Tr. 258).
Orthopedic Institute of PA: William W. DeMuth, M.D.
August 24, 2011, Plaintiff went to Dr. DeMuth, an orthopedic
surgeon, for complaints of radicular pain from his low back
to his right knee. (Tr. 274). Plaintiff reported that he was
struck by a vehicle while he was walking. (Tr. 274).
was fully ambulatory. (Tr. 274). He walked with a decided
limp and exhibited positive straight leg raising on the
right. (Tr. 274). He did not have signs of myelopathy. (Tr.
274). Dr. DeMuth opined that Plaintiff had posttraumatic
lower back pain with right leg sciatica. (Tr. 274). An MRI of
Plaintiff lumbar spine dated August 30, 2011, showed lumbar
spondylosis with a mild disc protrusion at ¶ 5-S1. (Tr.
September 26, 2011, Plaintiff stated that his main problem
was his right leg which, he claimed, gave way when he walked.
(Tr. 273). Dr. DeMuth ordered an MRI of Plaintiff's right
knee, which showed a medial meniscus tear. (Tr. 394). On
November 18, 2011, Plaintiff underwent right knee arthroscopy
to address a meniscus tear. (Tr. 271, 310).
December 2, 2011, Plaintiff sought follow-up treatment and
reported feeling stiff and sore, but otherwise doing well.
(Tr. 270). Dr. DeMuth observed that Plaintiff moved around
with a slight limp, that his range of motion was stiff, but
he was ambulating, and Plaintiff reported that his left side
was also bothering him due to the accident. (Tr. 270). On
January 16, 2012, Plaintiff reported back pain and suicidal
thoughts and depression due to his inability to work and due
to the stiffness in his knees. (Tr. 269). Dr. DeMuth noted
that Plaintiff seemed to have stiffness with range of motion,
and “seemed to have exaggerated discomfort for what the
clinical exam suggested.” (Tr. 269). Dr. DeMuth
diagnosed Plaintiff with mild degenerative joint disease of
the knees and depression. (Tr. 269).
February 27, 2012, Plaintiff sought follow-up treatment for
his right knee. (Tr. 268). Dr. DeMuth noted that Plaintiff
seemed to have improved, had some stiffness in his leg, and
that he did not find any physical reason to explain why
Plaintiff's knee was locking. (Tr. 268). Dr. DeMuth
opined that Plaintiff was unable to work until his knee
symptoms resolve. (Tr. 268).
April 25, 2012, Dr. DeMuth stated that Plaintiff had some
residual swelling of his right knee and was mildly numb in
the anterior aspect of his leg. (Tr. 282). Plaintiff could
otherwise flex his knee to 120 degrees and had full
extension. (Tr. 282). Dr. DeMuth stated that “all in
all [Plaintiff] was doing well.” (Tr. 282).
October 19, 2012, Dr. DeMuth observed Plaintiff limping
possibly due to his right knee. (Tr. 386). Dr. DeMuth noted
that Plaintiff seemed a “bit hyperactive” and did
not appear to be as depressed as he had been on previous
visits. (Tr. 386). Dr. DeMuth noted tenderness along his
right knee, but no ligament instability. (Tr. 386). Plaintiff
had full range of motion of his right shoulder, as well as
his right hip. (Tr. 386). There were no signs of myelopathy.
(Tr. 386). X-rays of Plaintiff's right knee showed
“very mild” degenerative changes. (Tr. 386).
X-rays of his right shoulder were normal. (Tr. 386). Dr.
injected Plaintiff's right knee and prescribed Ultram for
pain relief. (Tr. 386). On November 7, 2012, Plaintiff had a
normal range of motion for the neck and normal gait. (Tr.
14, 2013, Plaintiff sought treatment for his right thumb and
right knee. (Tr. 384). Dr. DeMuth observed full range of
motion in the thumb with an intact neurovascular examination.
(Tr. 384). Upon examination of Plaintiff's knee, Dr.
DeMuth noted no ligament instability and did not note any
remarkable findings. (Tr. 384). Dr. DeMuth assessed Plaintiff
with chondromalacia and post-traumatic right hand pain. (Tr.
August 7, 2013, Plaintiff reported ongoing right knee pain
which caused difficulty going up and down steps. (Tr. 405).
Plaintiff had pain with range of motion of his right knee,
but no ligament instability. (Tr. 405). Dr. DeMuth noted
minor right knee effusion was noted. (Tr. 405). X-rays of
Plaintiff's knees showed no obvious arthritis and x-rays
of Plaintiff's lumbar spine were normal. (Tr. 405). Dr.
DeMuth injected Plaintiff's right knee and advised
Plaintiff to follow up in one year. (Tr. 405).
lower extremity Venus Doppler, performed December 20, 2011,
revealed normal compressibility of the femoral and popliteal
veins, indicating absence of thrombus at the knee and above.
Holy Spirit Hospital
April 27, 2011, Plaintiff reported lower back pain, bilateral
leg pain, as well as shoulder and neck pain due to a recent
auto-pedestrian collision. (Tr. 312-16). It was noted that he
was ambulatory, had multiple contusions, and examination of
Plaintiff's neck revealed that it was non-tender and
demonstrated a painless range of motion. (Tr. 313, 315-16).
An x-ray of Plaintiff's lumbar spine showed mild
arthritic changes with no acute fracture. (Tr. 317). An x-ray
of his cervical spine showed mild degenerative changes at
¶ 5-C6 and moderate spondylosis or possible skeletal
hyperostosis in his lower cervical spine. (Tr. 317).
December 26, 2012, Plaintiff sought treatment for injury for
his right thumb and right knee. (Tr. 325-36). It was noted
that Plaintiff was ambulatory. (Tr. 333). Examination of
Plaintiff's back revealed no costovertebral angle
(“CVA”) tenderness, and no vertebral tenderness.
(Tr. 331). Examination of Plaintiff's neck revealed that
it was non-tender and demonstrated a painless range of
motion. (Tr. 331). Examination of Plaintiff's thumb
revealed tenderness and mild swelling. (Tr. 331). An x-ray of
Plaintiff's right thumb showed no abnormality. (Tr. 335).
An x-ray of his right knee showed minimal degenerative
changes. (Tr. 336).
Pressley Ridge: Amy Saracino, D.O.
psychiatric evaluation dated December 13, 2010, Plaintiff
reported that he no prior inpatient or outpatient psychiatric
history. (Tr. 339). Plaintiff reported no history of suicide
attempts or any psychotropic drug trials. (Tr. 339).
Plaintiff reported a history of head injuries and motor
vehicle accidents, and reported that he currently was not
taking any medication. (Tr. 339). Plaintiff reported taking
criminal justice classes for an online university and planned
to transfer the credits to a local community college. (Tr.
340). Plaintiff reported twice daily cannabis use and no
alcohol use or recent use of drugs other than cannabis. (Tr.
reported that he had thought a lot about death as a result of
things he had witnessed. (Tr. 338). Plaintiff reported that,
at times, he thinks he sees faces in the carpet or in the
concrete which are “evil.” (Tr. 338). Plaintiff
reported that when he was young he witnessed a man get run
over by a steamroller; prior work experience which involved
cremating individuals; sharing a jail cell with a convicted
murder who described, in detail, his killings, and; as a
result of testifying against the convicted murderer, he was
attacked by a taxi driver who attempted to poison him. (Tr.
338-39). Plaintiff reported some anxiety surrounding these
intrusive thoughts and flashbacks including increased heart
rate and chest pain. (Tr. 339). He reported feeling depressed
more days than not in a given year. (Tr. 339). Plaintiff
reported that he cries for no reason, experienced a reduced
appetite and decreased energy, had ongoing trust issues, and
was somewhat defensive. (Tr. 339). Plaintiff reported that he
once intentionally burned himself to serve as a distraction
from his feelings. (Tr. 339). Plaintiff denied any history
consistent with manic episodes including periods of decreased
need for sleep or increased energy, did not describe any
clear grandiose delusions, and did not report any history of
auditory hallucinations or clear delusions. (Tr. 339). Dr.
Saracino noted that Plaintiff presented “with some
unrealistic thoughts in discussing events that have happened
to him.” (Tr. 339). Plaintiff also reported that when
thinking of death or violent thoughts, it is easier to think
of himself as someone he named “Jack.” (Tr. 339).
Plaintiff acknowledged that there were not really two parts
of him and Dr. Saracino posited that Plaintiff may have used
“Jack” as a possible coping mechanism. (Tr. 339).
Saracino noted that Plaintiff's recent and remote memory
appeared grossly intact, was oriented x3, had normal speech,
and broad affect. (Tr. 340-341). Dr. Saracino noted small
healing burns on his bilateral hands and wrists. (Tr. 341).
Plaintiff reported “possible hallucinations”
which Dr. Saracino opined were “most likely illusions
or a manifestation of anxiety or posttraumatic experiences
including hypervigilance.” (Tr. 341). Dr. Saracino
noted that Plaintiff sat in the chair and steadily looked at
the carpet for a face which would be “atypical of an
actual visual hallucination.” (Tr. 341). Dr. Saracino
opined that there was no “evidence of clear delusional
thinking at the time of the interview” and although
Plaintiff described a certain amount of hypervigilance and
paranoid thinking at times, such was not to the point of
reaching the realm of paranoid delusions. (Tr. 341).
Saracino noted that there was possibly obsessional thinking,
however, Plaintiff did not describe any compulsive behaviors
associated with these intrusive thoughts. (Tr. 341-342). Dr.
Saracino diagnosed Plaintiff with: 1) dysthymic disorder; 2)
rule out posttraumatic stress disorder, chronic type; 3) rule
out obsessive compulsive disorder, and; 4) cannabis
dependence. (Tr. 342). Dr. Saracino assessed Plaintiff with a
GAF score of 55,  prescribed a trial of Prozac 20mg,
recommended that Plaintiff abstain from drug use, and
recommended individual therapy. (Tr. 342).
March 1, 2011, Plaintiff was discharged from Pressley Ridge
for refusal to comply with attendance requirements. (Tr.
410-412). He was diagnosed with dysthymic disorder and
assessed with a GAF score of 55. (Tr. 411). On November 5,
2013, Plaintiff reported he would like to stop seeing the
images of dead people. (Tr. 408). Plaintiff was diagnosed
with dysthymic disorder and assessed with a GAF score of 50.
(Tr. 408). On November 12, 2013, he was discharged due to his
return to jail based on a parole violation. (Tr. 406-07). He
was assessed with a GAF score of 50 and it was noted that
minimal progress was made toward reaching the treatment
goals. (Tr. 406).
Pinnacle Health: Mary Bonar, D.O.; Lance Hildrew, D.O.;
Joseph Benaknin, D.O.; Chris Delong, R.N.
November 7, 2012, Plaintiff sought treatment for ear pain.
(Tr. 372-73). During examination, Mr. Delong noted that
Plaintiff had a normal range of motion for the neck, normal
gait, normal affect, and presented with a minimal risk for
suicide. (Tr. 372-73).
February 26, 2013, Plaintiff sought ER treatment for
hematuria and reported vague symptoms of abdominal pain. (Tr.
364-69). Plaintiff denied back pain or injury, denied neck
pain, but reported a history of myalgias. (Tr. 364).
Plaintiff denied a history of alcohol abuse, anxiety,
depression, or drug abuse. (Tr. 364). Plaintiff's gait
was normal. (Tr. 365). Upon examination, Dr. Benaknin
observed that Plaintiff had a normal range of motion in his
neck, normal range of motion for his back with no
costovertebral tenderness, and a normal range of motion in
the upper and lower extremities. (Tr. 365). Dr. Benaknin
noted that Plaintiff presented with a normal affect and
judgment. (Tr. 365). Plaintiff was diagnosed with kidney
stones and abdominal pain. (Tr. 364, 368).
March 28, 2013, Plaintiff sought treatment for severe pain
related to kidney stones. (Tr. 357-58). Plaintiff reported a
history of chronic pain of eight out of ten where ten
indicated the greatest amount of pain. (Tr. 358). Plaintiff
stated that he took Tylenol #3 to treat his pain because
someone accused him of being addicted to Vicodin. (Tr. 358).
He was anxious and alleged suicidal ideation and auditory
hallucinations, however, Dr. Hildrew noted that Plaintiff
presented as a minimal suicide risk. (Tr. 358).
5, 2013, Plaintiff sought follow-up treatment for kidney
stones. (Tr. 350). Dr. Bonar noted that Plaintiff was
ambulatory with a steady gait. (Tr. 352). Plaintiff reported
experiencing pain for four months and missed his last urology
appointment do to incarceration. (Tr. 350). Plaintiff
reported a current pain of ten out of ten and that his pain
had been constant for three days, however, he had not taken
any medication to address his pain. (Tr. 350). Plaintiff
reported that although he had previously been taking Tylenol
#3 for his knee pain, he had not been taking pain medication
for a period of time. (Tr. 350). Plaintiff reported that he
smoked marijuana at times. (Tr. 350). Upon examination, Dr.
Bonar noted that Plaintiff's: 1) musculoskeletal
examination was unremarkable; 2) psychiatric examination
revealed normal affect and judgement; 3) neck examination
demonstrated a normal range of motion, and; 4) back
examination demonstrated costovertebral tenderness on the
left. (Tr. 350-51). Dr. Bonar recommended that Plaintiff
follow up with an urologist and noted that Plaintiff could
take over-the-counter medications to address pain. (Tr. 351).
Medical Records during Incarceration
18, 2012, Plaintiff reported “seeing” the people
that he cremated during his prior employment. (Tr. 499, 529).
He was diagnosed with PTSD by history. (Tr. 529). In records
on June 15, 2012, June 18, 2012, April 25, 2013, and May 17,
2013, Plaintiff generally was alert and oriented x3 and
exhibited no signs of depression. (Tr. 413-16, 428).
Plaintiff reported that he was worried about his car,
girlfriend, rent, and his knee. (Tr. 415, 427). The form
indicated that Plaintiff's mobility was not restricted in
any way. (Tr. 418). Plaintiff reported that he never had a
head injury and that Plaintiff indicated that he would need
to see a psychologist. (Tr. 420). Plaintiff indicated that he
had joint problems and surgery in the right knee. (Tr. 422).
Norco and prednisone were listed as his medication. (Tr.
423). It was noted that Plaintiff's lower right knee had
a well healed surgical scar and demonstrated pain with slight
touch. (Tr. 425). Plaintiff reported that he had PTSD. (Tr.
15, 2012, and April 25, 2013, it was noted that Plaintiff
would get new intake opiate detox checks over a period of
days. (Tr. 487-512). From June 18, 2012, to September 18,
2012, and starting April 26, 2013, Plaintiff was placed on
gym and work restrictions and lower bunk bed assignment. (Tr.
April 25, 2013, Plaintiff reported that joint problems which
included bilateral knee surgery in addition to hip pain. (Tr.
435). Plaintiff reported a history of depression,
hypervigilance, and PTSD symptoms. (Tr. 437). Plaintiff's
gait was within normal limits and right knee demonstrated
full range of motion with discomfort, positive McMurray's
sign and positive left Costovertebral angle tenderness. (Tr.
439). Plaintiff was cleared to perform prison work from an
infection disease standpoint. (Tr. 439).
April 26, 2013, it was noted that Plaintiff had no mental
health restrictions and he refused to take the prescribed
Prozac because he did not like the way it made him feel. (Tr.
530). During the examination, Plaintiff denied suicidal
thoughts, denied hallucinations, and presented with
appropriate conversation, normal speech, and euthymic mood.
(Tr. 530). On April 29, 2013, it was noted that although he
was prescribed Prozac, Plaintiff refused his medication. (Tr.
1, 2013, it was noted that Plaintiff demonstrated mildly
anxious mood and affect. (Tr. 530). On May 3, 2013, physical
findings were within normal limits, Plaintiff denied
experiencing any pain and stated that he wanted to work. (Tr.
471, 515). After the examination, medical restrictions were
discontinued for the gym, work, and lower bunk bed. (Tr.
17, 2013, Plaintiff reported that he saw faces on walls and
floors and sometimes heard voices. (Tr. 531). It was noted
that Plaintiff was alert and oriented x4, presented with an
intense mood, normal speech, and preoccupation with death.
(Tr. 531). In another document dated May 17, 2013, it was
noted that Plaintiff's exhibited paranoid and delusional
thoughts which included auditory hallucinations. (Tr.
440-41). It was noted that Plaintiff's judgement was
impaired but insight regarding awareness of his disorder was
intact. (Tr. 441). He was assessed with psychotic disorder,
NOS (possible delusional disorder) and personality disorder,
NOS. (Tr. 441). Plaintiff was released from prison on May 27,
2013. (Tr. 520).
the intake process on November 11, 2013, Plaintiff denied
experiencing any depression or suicidal ideation. (Tr. 536,
548). He also did not appear overly anxious, panicked,
afraid, or angry. (Tr. 548). Plaintiff reported a history of
pain and use of pain medications. (Tr. 547).
January 2, 2014, Plaintiff underwent a psychological
evaluation. (Tr. 550). Plaintiff reported feeling hopeless
and angry, crying all the time, reliving past events, seeing
things, and hearing voices. (Tr. 550). It was noted that
Plaintiff was restless, had a labile affect, tangential
thought process and a depressed, angry, and irritable mood.
(Tr. 550). It was noted that Plaintiff's thought content
included delusions and Plaintiff reported auditory and visual
hallucinations. (Tr. 550). The examiner noted, however, that
Plaintiff was not responding to internal stimuli and that his
thoughts and anger were toward the public in general. (Tr.
550). The examiner diagnosed Plaintiff with PTSD,
intermittent explosive disorder, and personality disorder.
(Tr. 550). The examiner assessed Plaintiff with a GAF of 40
and recommended a mood stabilizer, i.e., VPA (Valproic Acid),
for treatment. (Tr. 550).
January 16, 2014, Plaintiff reported that the psychiatric
medication kept him out of conflict and made him feel calmer.
(Tr. 549). It was noted that Plaintiff had an appropriate
affect, anxious mood, coherent thought process, normal
thought content, and intact memory. (Tr. 549). Plaintiff was
reported to have occasional auditory hallucinations. (Tr.
549). His thought process was coherent and his thought
content was normal. (Tr. 549). It was noted that he continued
to relive his past. (Tr. 549). Plaintiff's medication
dosage was increased. (Tr. 549).
January 21, 2014, Plaintiff reported upset stomach. (Tr.
547). On January 22, 2014, and January 29, 2014, Plaintiff
had a follow-up visits to evaluate for pain. (Tr. 547).
Consultative Examination: Stanley E. Schneider,
24, 2012, Plaintiff underwent a psychological examination by
Dr. Schneider. (Tr. 286-295). Dr. Schneider noted that
Plaintiff walked with a noticeable limp, but he was able to
ambulate without a cane. (Tr. 287). Plaintiff stated that he
usually walked with a cane, but was not using a cane on the
day of the examination because he did not want to depend on
it. (Tr. 287). Plaintiff reported that if he sits for too
long his leg feels numb and if he stands too long he loses
feeling in his right knee. (Tr. 287). Dr. Schneider observed
that Plaintiff stood up to alleviate his symptoms and used
another chair to elevate his leg. (Tr. 287, 290). Dr.
Schneider noted that Plaintiff talked continuously in a
rambling fashion. (Tr. 287, 289). When discussing his work
history, Plaintiff stated that he could cook, paint,
landscape, and cremate people. (Tr. 287). Plaintiff stated
that he had ten jobs in his lifetime, but was fired from all
of them because of his anger and arguing with others. (Tr.
288-89). He stated that he did not relate much with
coworkers, but was okay with supervisors generally. (Tr.
289). He described a criminal history since age 16 and he was
last jailed in 2009. (Tr. 288). Plaintiff reported a history
of substance abuse, denied alcohol use, and stated that he
used marijuana “every now and then.” (Tr. 288).
Dr. Schneider noted that Plaintiff had never been
hospitalized for psychiatric symptoms but Plaintiff reported
that he believed that he received outpatient treatment
approximately two years prior from Children and Family
Services. (Tr. 288). Although Plaintiff reported that he had
another angry personality whom he referenced in the
third-person, Dr. Schneider opined that it did not appear to
be “any full-blown Dissociative Identity
Disorder.” (Tr. 289). When asked about his depression,
he said that he feels bad that he is always in pain and
reported that he had crying spells. (Tr. 289). Dr. Schneider
noted that while Plaintiff was taking hydrocodone and an
anti-inflammatory to treat his physical symptoms, he was not
currently taking any psychotropic medications and was
previously on Prozac. (Tr. 288).
examination, Plaintiff became dysphoric as he recalled his
past. (Tr. 290). His mood was depressed and Plaintiff was
somewhat paranoid inasmuch as he thought he would get shot or
run over. (Tr. 290). He reported having sensory experiences
that people were touching his head or holding his arms. (Tr.
290). He was obsessed about death. (Tr. 290). He admitted to
recurrent suicidal ideation, but no current intent. (Tr.
290). He had no memory deficits and his attention and
concentration were good. (Tr. 291). He admitted to
impulsively losing his temper. (Tr. 291). His judgment was
acceptable, but his insight was limited. (Tr. 291).
opining that Plaintiff was “fairly reliable, ”
Dr. Schneider “strongly suggested that confirmatory
data . . . be obtained to support some of the
statements” that Plaintiff made concerning what he
witnessed in the past. (Tr. 291). With regard to daily
activities, Dr. Schneider stated that “[t]he only
impairments, restrictions, limitations concerning activities
of daily living are mainly physical.” (Tr. 291). Dr.
Schneider noted that Plaintiff did serial 5's acceptably,
was concrete in his attempts to interpret simple proverbs,
did not appear to have any significant memory deficits, was
able to correctly repeat four digits forward and backward,
was able to maintain attention and concentration, his
judgment was acceptable, and his insight was limited. (Tr.
292). Plaintiff admitted to helping clean “now and
then, ” and being able to cook. (Tr. 291-92). He knew
how to shop and he reported no problems with personal care or
hygiene. (Tr. 292). Dr. Schneider stated that socially,
Plaintiff tended to be a loner and that his concentration and
persistence would vary and his pace was fast. (Tr. 292). Dr.
Schneider diagnosed Plaintiff with PTSD, depressive disorder,
paranoid disorder with possible psychotic features, marijuana
abuse, and possibly a personality disorder with antisocial
features. (Tr. 292).
Schneider assessed Plaintiff as having a marked to extreme
limitation in the ability to: 1) respond appropriately to
work pressures in a usual work setting; 2) respond
appropriately to changes in a routine work setting; and, 3)
interact appropriately with the public, supervisors and
coworkers. (Tr. 294). Dr. Schneider opined that Plaintiff had
a slight limitation in: 1) understanding, remembering, and
carrying out short and simple instructions; 2) understanding,
remembering, and carrying out detailed instructions, and; 3)
making judgments on simple work- related decisions. (Tr.
294). In support of his opinion, Dr. Schneider ...