days and diagnosed with bipolar disorder after her hospitalization she did not do any work for thirteen years in one nine hundred ninety nine she started doing some hard time work she's never been able to return full time work in april one thousand nine hundred seventy when she was forty one years old she first applied for social security and she did not appeal the denial she applied for benefits again less than a year later in january one thousand nine hundred eighty eight these two applications of the applications that are before you today she is now fifty years old give you an idea on the timeframe increase from social security dr healy wrote a detailed letter summarizing his opinion about what summarizing his treatment over and his opinion about her ability to work some of the most significant statements recorded throughout my brief but i'll repeat them here none of them are convincing none of them even come close to being convincing rather than running through those again i'm sure you've already briefed that's the biggest error in this case not in the candid about it i well you know that i did read your brief and i understand the reasons given by used one of the reasons given by the a r g should not be persuasive but i'm not pulled over ok let me then explain to me trying this convincing issue around healy wrote a letter and it's got some statements in it and it it's crites basically good summary he's been he was retreating psychiatrist for more than ten years that's a rare situation these days the only reason he  itself proves that she is disabled the fact remains that because the l j did not state any convincing reason for rejecting dr release on contradicted medical opinion we must credit that opinion as true and then please opinions mean speculative and equivocal dr healy ten years of treating her this is not speculation says not somebody who treated her one time well he's the one that uses the words though this has not been tested i just seems to be an accurate statement of the fact that if you can't work you're not going to be able to test it by going to work all the service if you haven't been to work and therefore it was a professional medical opinion on the fact while she was going to him she attended college but she a lot of trouble doing that she had incomplete she had to cause problems doing that for her she had to for a longer period of time he'd seen or keep up with the hospital was by carefully circumscribe being her activities carefully controlling him so she didn't do things that would that would cause her to lose control because she was terrified of ending up back in the hospital college didn't consider dr humes comments about the problems she had doing that how she had to she needed extra help she took extra time it was not like she just was  ho with no problems at all she had a lot of problems getting through it but she wanted to find some way to get additional trainees maybe she could work and the fact is because she went to college she was able to get part time work which she continues to do to this day she just can't up to fifteen hours a day decrease in energy feelings of worthlessness and difficulty thinking and concentration and this is on all of her meds being stable these are the problems she continues to have periodically  because they were that they were more recent but that's not a reason to reject the pinions about current functioning males you also rejected all of her mental impairment well what just proves that is the medical evidence from dr healy that shows that indeed she had a problem starting in eighty six it continued for the entire eleven years he treated her and in his opinion throughout council after the l g dismissed it the first time it came for him it was reading and specifically for that you consider her her case first do it to the new mental health listings came back to him he didn't even mention  if the earlier application is reopened then and she is found to be disabled then she would be eligible for benefits based on that application gate which means you could get benefits as much as one year if you get the one year prior to the treated by a doctor really since then she's cared for up to three boys at one time she's helped those who maintain a household with a husband who's disability disabled with a spinal injury she's finished college with a three point eight grade point average she's undertaken major home projects wallpapering painting and she currently teaches citizenship to just individuals doctor really is opinion gives both medical and vocational opinions has to set aside to get to the result that he does does not establish together with even dr harris's observation something more than a slight impairment well it is a bit of a standard and it is not no it   dealing with members of the general public which is something that mr jaggers currently does in her activity of teaching citizenship so it's the it's the entire body of evidence that must be looked at and t she supervised the kids very well and didn't have differences that anyone else normal person without an impairment doesn't have with the children so in the medical world dr really is reporting from a medical frame of reference the elderly and dr harrison dr goldberg are analyzing the evidence from the social security regulations point of view and dr harrison goldberg add to the regulations the medical knowledge they come with so dr healy does say many things and if the court were to order a credit is true we wouldn't know what to do with that result because he says different things at different times when they're viewed in the context of a social security she can't work so my have some trouble taking out the first sentence of the paragraph in this you pay some attention to the last sense of the paragraph to again i may not be fully persuaded by dr lee's opinion but i think it's very difficult to cite that opinion as support having a bad day or having difficulty a mood elevation might be having difficulty at the moment but the d compensation is entirely different standard so step three was discussed by the l j more than just a letter from dr e lee and we did so in one nine hundred ninety seven we asked for all of this treatment records from the one nine hundred eighty six forward and he provided us with what he provided us with and that is all we have to go on and that is also a reasonable under the regulations the l j made every reasonable effort to develop the record maze of course tells us you only need to develop the record when it's vague or ambiguous in this case a request to the know because dr healy didn't say as has been referenced here in oral argument that she was unable to work the actual language of their ability to work was impaired not that it was precluded and  step three as well as the residual functional capacity finding which would come if there's a negative step three finding deal with what are your work related limitations and what can you still do despite those limitations so such a spot that is there's no question that you could you know judge you are per se disabled so that's why the standard is the compensation caused by him even a minimal increase medical man's not merely a mood elevation caused by a minimal increase in mental demands additionally if you go on then to step five the residual functional capacity finding was appropriate and the guidelines deal with only unskilled work these limitations in a residual functional capacity was that she couldn't work with the general public just the jobs considered by the medical of haitian guidelines are not part may be prepared to discount it in various ways and indicate that i think it is in some ways self contradictory but i have difficulty taking out of it an affirmative statement that there's a lack of a severe impairment i think it is at best which is one of its problems as i try to put it into the in the to the applicant's case but what i don't know if it can be fairly cited and i don't think the l j really affirmatively leaned on that as a reason to support the conclusion although his discussion arguably could be read that way truly looked at harrison doctors and i think he leaned on the others which raises the issue of what you have to go through and the argument really made by the african about what you have to go through to education that sort of thing whether or not you could do the unskilled work that exists in the in the world or in the united states given your exertional levels sedentary life medium social security really perilous and the way the way that link is drawn is that they only include unskilled work unskilled worker eighty five fifteen tells us deals with things primarily cared for three boys at a time that's going to produce stress even if you she said it wasn't for them she couldn't have done it with other children actually she did say yes that she couldn't have done it with children she didn't know but she also testified excerpts of record page fifty that having the responsibility of the children helped her it made her be taking medication it made her cooking meals it made her follow the schedule in other words having a i stated i guess stated and more accurately the problem next step three is that he did mention it he ran through any list to describe what twelve point zero four c requires the problem is because he had be accepted the one sect first sentence rejected all anything that that show that she couldn't work he rejected all of that he rejected everything from every other treatment provider he rejected all of her testimony rejected all of the lay evidence if you reject all of the citing directly from that ruling eighty five fifteen social security ruling elite by fifteen has additional language that states things like the reaction to the demands of work stress is highly individualized mental illness is characterized by