Opinion ID: 461357
Heading Depth: 2
Heading Rank: 1

Heading: Manifested persistence of one or more of the following clinical signs:

Text: 18
19 2. Recurrent and persistent periods of anxiety, with tension, apprehension, and interference with concentration and memory; or 20 3. Persistent depressive affect with insomnia, loss of weight, and suicidal preoccupation; or 21 4. Persistent phobic or obsessive ruminations with inappropriate, bizarre, or disruptive behavior; or 22 5. Persistent compulsive, ritualistic behavior; or 23 6. Persistent functional disturbance of vision, speech, hearing, or use of a limb with demonstrable structural or trophic changes; or 24 7. Persistent, deeply ingrained, maladaptive patterns of behavior manifested by either; 25
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27 B. Resulting persistence of marked restriction of daily activities and constriction of interests and deterioration in personal habits and seriously impaired ability to relate to other people. 28 20 C.F.R. Pt. 404, Subpt. P, App. 1, Sec. 12.04 (1985). Here, the record supports the existence of categories A(2), A(4) and perhaps A(7)(b), as well as the required B. For example, the June 18, 1981 discharge summary of a CIPC psychiatrist recorded, inter alia, Moore's hostility and irrationality of thought processes, and an August 26, 1981 discharge summary noted Moore's irrationality, restlessness and anxiousness, and his expression of paranoid persecutory delusions. 29 In short, the conclusion is inescapable that Moore was disabled within the meaning of the Social Security Act commencing one month prior to his May 20, 1981 admission to CIPC. 7 The extent and duration of Moore's mental impairments, the severity of which were borne out by the later but inexorable worsening of his condition, clearly prevented Moore from enjoying in substantial gainful employment with any degree of regularity. The Secretary's conclusion to the contrary, not being supported by substantial evidence, cannot stand. 8