UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
DEJADAWN DE DEAUX,
Plaintiff,
v.
No. 21-cv-682 (DLF)
KILOLO KIJAKAZI,
Commissioner of Social Security,
Defendant.
MEMORANDUM OPINION
In this action, plaintiff Dejadawn M. De Deaux challenges the Social Security
Commissioner’s denial of her claim for Supplemental Security Income Benefits. Before the Court
are the plaintiff’s Motion for Judgment of Reversal, Dkt. 13, and the defendant’s Motion for
Judgment of Affirmance, Dkt. 14. For the reasons that follow, the Court will grant De Deaux’s
motion in part and deny it in part, and it will grant the Commissioner’s motion in part and deny it
in part.
I. BACKGROUND
A. Statutory Background
The Social Security Act defines a person as disabled and thus eligible for disability benefits
if she “is unable to engage in any substantial gainful activity by reason of any medically
determinable physical or mental impairment which can be expected to result in death or which has
lasted or can be expected to last for a continuous period of not less than twelve months.” 42
U.S.C. § 1382c(a)(3)(A). An individual “shall be determined to be under a disability only if his
physical or mental impairment or impairments are of such severity that he is not only unable to do
his previous work but cannot, considering his age, education, and work experience, engage in any
other kind of substantial gainful work which exists in the national economy.” Bowen v. Yuckert,
482 U.S. 137, 140 (1987) (quoting 42 U.S.C. §§ 423(d)(2)(A), 1382c(a)(3)(B)).
To evaluate whether a claimant is in fact disabled, the SSA engages in a five-step
evaluation process. 20 C.F.R. § 416.920(a)(4). At the first step, the claimant must show that she
is not currently working or “doing substantial gainful activity.” Id. § 416.920(a)(4)(i). At the
second step, the claimant must demonstrate that she has either “a severe medically determinable
physical or mental impairment” or “a combination of [severe] impairments” that meets specified
duration requirements and “significantly limits [the claimant’s] physical or mental ability to do
basic work activities.” Id. §§ 416.920(a)(4)(ii), 416.920(c). At the third step, the claimant must
show that her impairment “meets or equals” one of the disabilities listed at 20 C.F.R. Part 404,
Subpart P, Appendix 1. Id. § 416.920(a)(4)(iii). If this step is met, the inquiry will end and result
in a finding that the claimant is disabled. Id.
If the third step is not met, the inquiry will proceed to the fourth step, in which the
Administrative Law Judge (ALJ) assesses the claimant’s residual functional capacity. If the ALJ
determines that the claimant, given her impairment, is able to perform her past relevant work, then
the inquiry ends and the claimant is found to be not disabled. Id. § 416.920(a)(4)(iv). “[If] a
claimant has carried the burden on the first four steps, the burden shifts to the Commissioner on
step five to demonstrate that the claimant is able to perform other work based on a consideration
of her [residual functional capacity], age, education, and past work experience.” Butler v.
Barnhart, 353 F.3d 992, 997 (D.C. Cir. 2004) (cleaned up); see 20 C.F.R. § 416.920(a)(4)(v).
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B. Factual and Procedural Background
De Deaux is a thirty-six-year-old mother who suffers from physical health conditions,
including ulcerative colitis and type I diabetes, and mental health conditions. Administrative
Record (AR) at 1054–55, Dkt. 11. She was previously employed as, among other things, a service
operation assistant at the Army and Air Force Exchange Services. Id. at 42–43, 1054.
On April 11, 2017, De Deaux filed an application for disability benefits with an alleged
onset date of April 7, 2017. AR 17. Her claim was denied. Id. at 104, 152. On reconsideration,
her claim was approved, but the Social Security Administration’s Office of Quality Review
overruled the approval. Id. at 299–301. It concluded that De Deaux was not disabled because
“[t]he medical evidence supports a lesser degree of mental health restrictions” on her residual
functional capacity than the agency had previously found. Id. at 299.
At De Deaux’s request, an ALJ held a hearing on December 5, 2019. Id. at 34–77. At the
hearing, De Deaux testified that her colitis causes “flareups” in which blood comes out of her stool,
and that she constantly takes treatments to manage her colitis. Id. at 55. She stated that her flare-
ups can last up to a week, sometimes requiring hospitalization. Id. at 60. She also testified that
she takes medications for “anger issues, depression, and bipolar disorder.” Id. at 57–58. Finally,
De Deaux noted that the medications she takes to control her ailments are “immune suppressants”
and can therefore cause her to develop shingles outbreaks. Id. at 60–61.
In a ruling after the hearing, the ALJ found that De Deaux does not meet the definition for
disability required under the Social Security Act. Id. at 28. At step one, he found that De Deaux
has not engaged in substantial activity since her alleged onset date. Id. at 19. At step two, he
found that De Deaux has the following severe impairments: “diabetes mellitus; ulcerative colitis;
right carpal tunnel syndrome; right upper extremity deep venous thrombosis; right ulnar
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neuropathy; obesity; affective disorder; attention deficit hyperactivity disorder; [and] substance
abuse disorder.” Id. At step three, the ALJ concluded that De Deaux does not have an impairment
or combination of impairments that meets or medically equals the severity of a listed impairment.
Id. at 20.
Moving on to step four, the ALJ found that De Deaux has the following residual functional
capacity: “light work . . . limited to work involving simple, routine tasks, in a low-stress job, which
is defined as having only occasional decision-making required and only occasional changes in the
work setting. The claimant should have only occasional interaction with the public and work in
an environment with only occasional supervision.” Id. at 21–22. When presented with this
residual functional capacity, a vocational expert had testified that De Deaux would still be able to
work as a housekeeping cleaner, marker, or checker. Id. at 28. Thus, at step five, the ALJ
concluded that De Deaux is capable of performing a job that exists in significant numbers in the
national economy and therefore is not disabled. Id.
On March 15, 2021, De Deaux filed a complaint in this Court seeking review of her denial
of benefits. Dkt. 1. Now before the Court are De Deaux’s motion for judgment of reversal,
Dkt. 13, and the Commissioner’s motion for judgment of affirmance, Dkt. 14.
II. LEGAL STANDARDS
“In a disability proceeding, the ALJ ‘has the power and the duty to investigate fully all
matters in issue, and to develop the comprehensive record required for a fair determination of
disability.’” Butler, 353 F.3d at 999 (quoting Simms v. Sullivan, 877 F.2d 1047, 1050 (D.C. Cir.
1989)). “In reviewing an [ALJ’s] decision, ‘[t]he findings of the Commissioner of Social Security
as to any fact, if supported by substantial evidence, shall be conclusive.’” Jones v. Astrue, 647
F.3d 350, 355 (D.C. Cir. 2011) (quoting 42 U.S.C. § 405(g)). Substantial evidence means “such
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relevant evidence as a reasonable mind might accept as adequate to support a conclusion.”
Richardson v. Perales, 402 U.S. 389, 401 (1971) (citation omitted). “The test requires more than
a scintilla, but can be satisfied by something less than a preponderance of the evidence.” Butler,
353 F.3d at 999 (citation omitted).
“The reviewing court must give considerable deference to the Commissioner’s decision
but remains obligated to ensure that the decision was based on ‘substantial evidence.’” Pinkney v.
Astrue, 675 F. Supp. 2d 9, 14 (D.D.C. 2009) (quoting 42 U.S.C. § 405(g)). The ALJ is “entitled
to weigh conflicting opinions and to make his own assessment of their credibility,” Brown v.
Bowen, 794 F.2d 703, 709 (D.C. Cir. 1986); however, the ALJ “cannot merely disregard evidence
which does not support his conclusion.” Martin v. Apfel, 118 F. Supp. 2d 9, 13 (D.D.C. 2000)
(citation omitted). The Court “is not permitted to re-weigh the evidence and reach its own
determination.” Maynor v. Heckler, 597 F. Supp. 457, 460 (D.D.C. 1984).
III. ANALYSIS
De Deaux challenges the ALJ’s finding that she is not disabled. In particular, she argues
that the ALJ improperly discounted the medical opinion of her treating physician, Dr. Amy Stone,
in assessing her residual functional capacity. Pl.’s Mot. for J. of Reversal at 8–9, Dkt. 13. She
also contends that the ALJ failed to: (1) incorporate his own findings regarding De Deaux’s mental
limitations, id. at 10–13; (2) consider the assistance De Deaux receives in her activities of daily
living, id. at 15–18; and (3) consider legitimate reasons for De Deaux’s inability to follow her
treatment regimens, id. at 18–20. The Court will grant De Deaux’s motion for reversal as to her
first challenge but deny her motion as to her remaining challenges. 1
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De Deaux also argues that the ALJ failed to consider the effects of her extensive treatment in
determining her residual functional capacity. See Pl.’s Mot. at 13–14; Pl.’s Reply at 11–12, Dkt.
18. The Court will not reach this challenge at this time for the reasons stated in section III.A, infra.
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A. Dr. Stone’s Medical Opinion
For social security claims like De Deaux’s that are filed after March 27, 2017, an ALJ shall
“not defer or give any specific evidentiary weight, including controlling weight, to any medical
opinion[].” 20 C.F.R. § 404.1520c(a). Rather, the ALJ must “articulate . . . how persuasive [he]
find[s] all of the medical opinions,” id. § 404.1520c(b), according to five factors:
(1) supportability, (2) consistency, (3) the medical source’s relationship with the claimant,
(4) specialization, and (5) “other factors that tend to support or contradict a medical opinion.” Id.
§ 404.1520c(c). Supportability and consistency “are the most important factors,” so federal
regulations require an ALJ to “explain how [he] considered the supportability and consistency
factors for a medical source’s medical opinions.” Id. § 404.1520c(b)(2). Supportability is defined
as the “relevan[ce] [of] the objective medical evidence and supporting explanations presented by
a medical source . . . to his or her medical opinion(s).” Id. § 404.1520c(c)(1). Consistency is the
“consisten[cy] [of] a medical opinion[] . . . with the evidence from other medical sources and
nonmedical sources in the claim.” Id. § 404.1520c(c)(2).
On August 2, 2018, Dr. Stone, De Deaux’s treating physician, provided a medical opinion
that De Deaux is “unable to work.” AR 1314. The only support that Dr. Stone offered for her
opinion was the following: “Ms. De Deaux has multiple and significant medical issues [that] have
unfortunately required multiple hospitalizations and outpatient office visits. She will continue to
require close monitoring for some time. This makes it so she is unable to work because she is sick
so often.” Id.
As brief of an explanation as Dr. Stone offered in support of her opinion, the ALJ did not
clearly explain his reasons for discounting it. He acknowledged that “Dr. Stone [has] a treating
relationship with the claimant,” but he found her opinion unpersuasive solely because, according
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to him, it was based on De Deaux’s “subjective reports” about her “difficulty obtaining and
sustaining employment.” Id. at 27. This explanation was inadequate and arguably unsupported
by the record.
As noted, the relevant regulations require an ALJ to specifically address the supportability
and consistency of a medical opinion. See 20 C.F.R. § 404.1520c(b)(2). Here, the ALJ made no
attempt to do either. To be sure, Dr. Stone’s opinion itself was cursory. Even so, the ALJ did not
address the few bases Dr. Stone offered to support her opinion; instead, he rejected her opinion on
the ground that he found it to be based primarily on De Deaux’s “subjective reports” about her
“difficulty obtaining and sustaining employment.” 2 AR 27. The ALJ’s explanation is therefore
deficient and distinguishable from those found sufficient in by courts in this District. Cf. Patricia
T. v. Kijakazi, No. 21-cv-1028, 2022 WL 3583634, at *14–*15 (D.D.C. Aug. 22, 2022) (affirming
ALJ ruling where ALJ specifically addressed supportability and consistency and cited sufficient
record evidence to support his or her findings); Melanie A.S. v. Kijakazi, 21-cv-185, 2022 WL
1721196, at *11–*12 (D.D.C. May 12, 2022), report and recommendation adopted by 2022 WL
1718987 (D.D.C. May 27, 2022) (same).
Without a more detailed explanation, the Court is unable to assess whether the ALJ’s
conclusion can be supported by the record. This is especially true in light of Dr. Stone’s extensive
treatment history with De Deaux. As her treating physician, Dr. Stone saw De Deaux on at least
twenty medical occasions starting as early as February 2014. AR 426, 477, 492–98, 511, 650, 653,
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Elsewhere, the ALJ appeared to address, at least partially, one of the bases for Dr. Stone’s
opinion—the frequency of De Deaux’s colitis flare-ups requiring hospitalization. See AR 23–24.
Even so, the ALJ did not reference this explanation in discounting Dr. Stone’s opinion, consider
the other bases for her opinion, or otherwise discuss the supportability or consistency of her
opinion. See Ayala v. Kijakazii, No. 20-cv-9373, 2022 WL 3211463, at *17 (S.D.N.Y. Aug. 9,
2022) (collecting cases finding that, under new regulations, a conclusory statement is insufficient
to explain discounting of medical opinion).
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673, 696, 703, 712, 897, 922, 977, 995, 1314, 1335, 1359, 1922, 1933, 2312, 2322, 2325. As her
treatment notes reflect, Dr. Stone was professionally consulted by De Deaux about a wide range
of medical concerns, ranging from diabetes follow-ups, see, e.g., id. at 696, 1922, 2322, to mental
health concerns, see, e.g., id. at 897, 1206, 1359, 2501. Dr. Stone was also consistently listed as a
member of De Deaux’s care team, see, e.g., id. at 849, and as the referring physician for visits with
specialists, see, e.g., id. at 524, 669, 1475, 1507, 1572, 1645, 1763, 1794. At a minimum, the ALJ
needed to provide a more fulsome justification before rejecting Dr. Stone’s opinion that De Deaux
is unable to work.
The Commissioner’s remaining arguments in support of the ALJ’s discounting of Dr.
Stone’s opinion are unavailing. The Commissioner first questions “whether Dr. Stone’s . . . letter
even qualifies as a ‘medical opinion,’” Def.’s Mot. for J. of Affirmance at 17, Dkt. 14, despite the
fact that the ALJ explicitly found that Dr. Stone had expressed a medical opinion in her letter, see
AR 25, 27. The Commissioner also asserts that the letter’s purpose was “to advocate for [De
Deaux] to maintain her daycare arrangement,” and is “not substantiated by the record.” Def.’s
Mot. at 17. But the ALJ never identified either of these explanations as justifications for
discounting Dr. Stone’s letter. See AR 27. It is well-established that when “the government
attempts to explain the ALJ’s reasoning, . . . the Court may only consider the grounds proffered
by the agency in its decision for post hoc rationalizations do not suffice.” Espinosa v. Colvin, 953
F. Supp. 2d 25, 32–33 (D.D.C. 2013); see also Contreras v. Comm’r of Soc. Sec., 239 F. Supp. 3d
203, 209 (D.D.C. 2017) (“Such attempts at post hoc rationalization are insufficient to provide
support for the ALJ’s reasoning.”).
Because the Court is unable to determine “the ALJ’s rationale [for discounting Dr. Stone’s
opinion] . . . without further findings or [a] clearer explanation of the decision,” remand is
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appropriate for the Commissioner to reconsider Dr. Stone’s medical opinion, taking into account
and addressing the grounds she provided for her opinion and the requisite factors, including
supportability and consistency. 3 Ademakinwa v. Astrue, 696 F. Supp. 2d 107, 111 (D.D.C. 2010);
see also Stubbs v. Saul, No. 18-cv-1457, 2020 WL 1893173, at *6 (D.D.C. Mar. 23, 2020), report
and recommendation adopted by 2020 WL 1891979 (D.D.C. Apr. 15, 2020) (finding remand
warranted “where an ALJ mischaracterize[d] evidence that was presented”); Ayala, 2022 WL
3211463, at *5 (finding remand appropriate where ALJ did not follow new regulations for
evaluating medical opinions).
B. Moderate Limitations in Concentration, Persistence, and Pace
De Deaux also argues that the ALJ failed to account for other, relevant evidence in making
his residual functional capacity finding. An ALJ’s residual functional capacity finding and the
corresponding hypothetical question posed to the vocational expert “must accurately describe a
claimant’s impairments so that the vocational expert can adequately assess whether jobs exist for
the claimant.” Petty v. Colvin, 204 F. Supp. 3d 196, 205 (D.D.C. 2016). A “[f]ailure to accurately
describe a claimant’s impairments can serve as grounds for reversal.” Id. De Deaux contends that
the ALJ’s conclusion about her residual functional capacity was flawed because it did not account
for the ALJ’s own, earlier finding that De Deaux has a moderate limitation in concentration,
persistence, and pace. Pl.’s Mot. at 11–13. The Court disagrees.
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Because the Court will remand the case on this issue, it declines to decide whether the ALJ’s
explanation complied with the D.C. Circuit’s “treating physician rule,” see Bennett v. Saul, No.
18-1745, 2019 WL 5549815 (D.D.C. Oct. 27, 2019)), and whether the ALJ erred by asking the
vocational expert a hypothetical question that conflicted with Dr. Stone’s medical opinion, see
Pl.’s Mot. at 19–20. Because Dr. Stone’s opinion relied in part on the frequency of De Deaux’s
medical issues and their corresponding treatments, the Court also declines to decide whether the
ALJ failed to consider the extent of De Deaux’s treatment in determining her residual function
capacity. If appropriate, De Deaux may raise any of these challenges to the Commissioner’s
decision after remand.
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At the third step of his analysis, the ALJ found that De Deaux has a “moderate limitation”
on “concentrating, persisting[,] or maintaining pace.” AR 21. He then found that De Deaux
nonetheless retains the ability to conduct “simple, routine tasks, in a low-stress job, which is
defined as having only occasional decision-making required and only occasional changes in the
work setting.” Id. at 21–22. Weighing all the evidence, the ALJ concluded that De Deaux’s mental
health ailments, which include “depression, ADHD, and substance abuse,” “would not prevent
[her] from sustaining work involving simple, routine tasks, in a low-stress environment.” Id. at 25.
Some courts in this District have adopted a rule that limiting a claimant’s work to “simple,
routine, repetitive[,] and unskilled tasks” does not “sufficiently capture[] the claimant’s moderate
mental limitations in concentration, persistence, or pace.” Petty, 204 F. Supp. 3d at 206 (following
other circuits in adopting rule); see also Nsiah v. Saul, No. 19-cv-42, 2021 WL 372784, at *1
(D.D.C. Feb. 3, 2021); Demetria R. v. Kijakazi, No. 20-3227, 2022 WL 3142376, at *14 (D.D.C.
June 30, 2022), report and recommendation adopted by 2022 WL 3139026 (D.D.C. Aug. 5, 2022).
But even these courts consider an ALJ’s failure to follow this rule harmless where, as here, the
“medical evidence [in the record] demonstrates that a claimant can engage in simple, routine tasks
or unskilled work despite [her] limitations in concentration, persistence, and pace.” Petty, 204 F.
Supp. 3d at 206 (citation and internal quotation marks omitted); Demetria, 2022 WL 3142376, at
*15. Dr. Gregory Price conducted a psychological evaluation of De Deaux and found that she
showed “[n]o evidence of limitation” in her ability to “sustain concentration and perform a task at
a consistent pace.” AR 648. Similarly, Dr. Cott, a state agency psychological consultant,
concluded that De Deaux has moderate limitations in concentration, persistence, and pace but
“appears to be able to maintain [concentration, persistence, and pace] in the routine workplace.”
Id. at 101–02. Drs. Nancy Heiser and D. Malone, reviewing psychologists, reached the same
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conclusion. Both opined that De Deaux’s “dysphoria and intermittent cognitive difficulties are
not so frequent, intense, or pervasive as to seriously limit her ability to perform work-related
tasks.” Id. at 118, 120. They further explained that De Deaux “is an independently functioning
adult” and “is not currently receiving any mental health services or psychiatric medication.” Id.
Finally, a fifth doctor, Dr. Leah Nathan, conducted a psychological evaluation and found De
Deaux’s “attention and concentration” “[i]ntact.” Id. at 1057. She concluded that De Deaux would
have only “mild limitation[s] to sustain concentration and perform a task at a consistent pace.” Id.
at 1058. De Deaux has identified no record evidence to contradict these medical findings.
Substantial evidence therefore supports the ALJ’s determination that De Deaux is capable of
engaging in simple, routine, low-stress tasks in the workplace despite her limitations in
concentration, persistence, and pace.
C. Assistance Received in Activities of Daily Living
De Deaux further contends that “[r]eversal is required” because the “ALJ d[id] not consider
the extent of the assistance [she] receives in completing activities of daily living.” Pl.’s Mot. at
16 (citing Garrison v. Colvin, 759 F.3d 995 (9th Cir. 2014)). As evidence that she cannot conduct
any activities independently, De Deaux points to her testimony before the ALJ about the assistance
she receives from her thirteen-year-old son and mother who “help[] [her], for the most part, with
everything.” Pl.’s Mot. at 16; AR 65.
The record reveals that the ALJ properly considered and discounted De Deaux’s testimony.
When assessing the credibility of a claimant’s statements about the severity of her symptoms, an
ALJ may consider, among other factors, the claimant’s daily activities. Porter v. Colvin, 951 F.
Supp. 2d 125, 136 (D.D.C. 2013); 20 C.F.R. § 404.1529(c)(3). Here, the ALJ explicitly
acknowledged that De Deaux “testified that she had help from her mother and her thirteen-year-
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old.” AR 21. Yet, he noted, “the record indicate[d] that she is well capable of sustaining normal
activities of independent living.” Id. Indeed, De Deaux recounted to examining psychologists on
two separate occasions that she performs a large number of daily living activities independently.
On November 15, 2017, she told Dr. Price that she:
dresses, bathes, and grooms herself. She does laundry. She shops. She manages
money. She cooks and prepares food. . . . She wakes up, gets the kids off to school,
goes to her medical appointments, comes home, cooks, picks up the children from
school, tries to hide in her room for five minutes to get some rest, and takes care of
the children’s homework assignments.
Id. at 648; see also id. at 25 (ALJ ruling referencing statements to Dr. Price). Again, on September
17, 2018, De Deaux informed Dr. Nathan that she “is able to groom herself and prepare a simple
meal and engages in general cleaning, does the laundry, shops, manages her money, drives, and
takes public transportation.” Id. at 1058. Based on these activities, the ALJ concluded, De Deaux
“has experienced no limitation” as to “adapting or managing [her]self,” id. at 21, and therefore
retains the ability to conduct “simple, routine tasks in a low-stress job,” see id. at 25. Substantial
evidence supports the ALJ’s justification for discounting De Deaux’s testimony. “[O]n this record,
[the Court] find[s] no reason to disturb the ALJ’s conclusion.” Brown, 794 F.2d at 706 (deferring
to ALJ’s credibility determinations in face of contradictory evidence).
D. Justifications for Poor Compliance with Treatment
Finally, De Deaux argues that the “ALJ failed to consider good reasons in the record for
[her] inability to follow some treatment regimes.” Pl.’s Mot. at 18. The ALJ based his conclusion
that De Deaux’s limitations were not as serious as she claimed in part on De Deaux’s “poor
compliance with diabetic treatment.” AR 24. To contest this characterization, De Deaux points
to a handful of medical records that reveal that her various health conditions sometimes affected
her ability to comply with a treatment regimen. Pl.’s Mot. at 19; Pl.’s Reply at 12–13. For
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example, she sometimes experienced depressed moods and mental health difficulties that
interfered with her ability to function, including her ability to take medication. AR 62, 892, 2370.
The record reflects that the ALJ considered De Deaux’s history of mental health
difficulties, id. at 25, and her concerns about taking her medications, see, e.g., id. at 23. But he
also found that, at times, De Deaux failed to comply with her diabetic treatment without
justification. For example, as early as January 20, 2016, before the onset of some of her more
severe mental health symptoms, see id. at 1354, 1359, De Deaux reported that she did not test her
blood sugar levels at home. Id. at 696. And on August 12, 2016, she reported “marked
deterioration in adherence to insulin regimen and blood glucose monitoring,” including “not
checking” blood glucose, without any justification. Id. at 551. On May 24, 2018, a doctor noted
that De Deaux was “not taking . . . meds as prescribed” and that she stated, without explanation,
that she did “not know what her [d]ose actually is.” Id. at 879.
The ALJ’s conclusion that De Deaux’s poor compliance with diabetic treatment sometimes
was not justified by her other impairments is therefore supported by substantial evidence. De
Deaux suggests that the Court re-weigh conflicting evidence, but “substantial-evidence review is
highly deferential to the agency fact-finder.” Rossello v. Astrue, 529 F.3d 1181, 1185 (D.C. Cir.
2008). A “court must carefully scrutinize the entire record, but [it] may not reweigh the evidence
and replace the [Commissioner’s] judgment regarding the weight of the evidence with its own.”
Brown v. Barnhart, 370 F. Supp. 2d 286, 288 (D.D.C. 2005) (internal quotation marks omitted).
Because the ALJ’s findings are well supported by the record, the Court will not second-guess his
conclusions about De Deaux’s inability to comply with her treatment.
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CONCLUSION
For the foregoing reasons, the plaintiff’s Motion for Judgment of Reversal is granted in
part and denied in part, and the defendant’s Motion for Judgment of Affirmance is granted in part
and denied in part. A separate order consistent with this decision accompanies this memorandum
opinion.
________________________
DABNEY L. FRIEDRICH
United States District Judge
October 25, 2022
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