People that are hopelessly broken. Anyone who can't understand that you shouldn't grip a knife by the blade can't possibly know themselves, so of course they treat an intrusive thought as a different personality, or their reluctance to grunt and spit to mean they're actually women deep down inside.
Phil's ASD was definitely cited. Whatever it is Phil actually has, he sure as shooting needs welfare, and adult supervision for the foreseeable future. Phil's degeneration from life with his mother and the job at Wawa to a life with no direct supervision proves he isn't capable of taking care of himself.
Here's all the text that was visible on what Phil posted, noting that he left out certain parts.
FINDINGS OF FACT AND CONCLUSIONS OF LAW
After careful consideration of the entire record, I make the following findings:
1. The claimant’s date last insured is December 31, 2014.
2. There is no evidence of substantial gainful activity since August 31, 2010, the alleged onset date (20 CFR 404.1520(b), 404.1571 et seq., 416.920(b) and 416.971 et seq.).
There is no evidence that the claimant has engaged in substantial gainful activity at any time relevant to her applications for benefits (
see, Exhibits 3D-8D, 10D-12D, 2E & 3E and hearing testimony). Therefore, a finding of disability is not precluded on the basis of work activity.
3. The claimant has the following severe impairments: a depressive disorder, an anxiety disorder, and a personality disorder (20 CFR 404.1520(c) and 416.920(c)).
The claimant has alleged disability on the basis of autism/Asperger’s syndrome, post traumatic stress disorder (PTSD), a generalized anxiety disorder, a dissociative disorder, a personality disorder and fibromyalgia. She reported that her symptoms include suicidal ideation, difficulty interacting with others, difficulty sleeping, memory problems and impaired concentration. As a result of her symptoms, the claimant has become homeless and has difficulty performing tasks, including personal care. The claimant also testified that she is transgender woman who is transitioning from a man (
see, Exhibits ?E, 6E, 10E, 11E & 15E and hearing testimony).
As will be discussed below, the findings reported in the claimant’s medical records indicate that the above impairments have more than a minimal effect on her ability to work. I therefore find that the claimant’s impairments are “severe.”
4. The severity of the claimant’s impairments meets the criteria of Section 12.06 of the Listing of Impairments found at 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525, 416.920(d) and 416.925).
According to the claimant’s medical records, she legally changed her name after determining that she wanted to transition from male to female and was placed on a hormone regimen by her physician in May 2020 (Exhibit 1F/36). Thereafter, during a subsequent visit to the Mazzoni Center in June 2011, the claimant requested a referral for psychiatric treatment as she was
[. . .]
August 2013, she presented to the emergency room shortly thereafter, with suicidal ideation. Her emergency room physician suggested that the claimant’s current symptoms may have been precipitated by the new medication and her medication was stopped (Exhibit 13F/4).
At the hearing, the medical expert testified that he had reviewed the record, including the evidence of persistent depression, uncontrolled with psychotropic medication, and of a personality disorder, with difficulty functioning on a day-to-day basis. Dr. Tanenhaus specifically noted that the record describes a sleep disturbance, psychomotor agitation, feelings of worthlessness and difficulty concentrating, as contemplated under the “paragraph A” criteria of Section 12.04. He further testified that the record describes evidence of persistent disturbances of mood or affect and intense and unstable interpersonal relationships, as contemplated under the “paragraph B” criteria of both Section 12.04 and Section 12.08. In addition, in Dr. Tanenhaus’ opinion, the “paragraph B” criteria of both Section 12.04 and Section 12.08 are satisfied because the record indicates that the claimant’s impairments cause a mild restriction in activities of daily living, marked difficulties in maintaining social functioning, marked difficulties in maintaining concentration, persistence or pace, and no episodes of decompensation of extended duration.
I accept his testimony and accord it great weight, as it was based upon a review of the record in its entirety and is supported by the underlying medical evidence of record. Taking into consideration the opinion of the medical expert and the record as a whole, I find that the claimant suffers from a Listing level affective disorder that meets the criteria of Section 12.04 and from a Listing level personality disorder that meets the criteria of Section 12.08.
In making these findings, I have also considered other opinion evidence in accordance with the requirements of 20 CFR 404.1527 and 416.927 and SSRs 96-2p, 96-6p and 06-3p. I give some
[. . .]
I have also considered all symptoms and the [. . .] consistent with the objective medical evidence and other evidence, based on the [. . .] 20 CFR 404.1529 and 416.929 and SSRs 96-4p and 96-7p. After considering the evidence of record, I find that the claimant’s medically determinable impairments could reasonably be expected to produce the alleged symptoms, and that the claimant’s statements concerning the intensity, persistence and limiting effects of these symptoms are generally credible.
5. The claimant has been under a disability as defined in the Social Security Act since August 31, 2010, the alleged onset date of disability (20 CFR 404.1520(d) and 416.920(d)).
DECISION
Based on the application for a period of disability and disability insurance benefits filed on June 27, 2011, the claimant has been disabled under sections 216(i) and 223(d) of the Social Security Act since August 31, 2010.
Based on the application for supplemental security income protectively filed on February 16, 2013, the claimant has been disabled under section 1614(a)(3)(A) of the Social Security Act since August 31, 2010.
The component of the Social Security Administration responsible for authorizing supplemental security income will advise the claimant regarding the nondisability requirements for these payments and, if the claimant is eligible, the amount and the months for which payment will be made.
Medical improvement is expected with appropriate treatment. Consequently, a continuing disability review is recommended in 24 months.
/sneed/
Richard P. Laverdure
Administrative Law Judge
November 10, 2014
Date