Opinion ID: 566839
Heading Depth: 2
Heading Rank: 2

Heading: Medical Evidence after June 30, 1979

Text: 18 The evidence after the relevant period suggests continued passive aggressivity, depression, anxiety and persistent hand tremor. As with the relevant time period, there were repeated hospital stays primarily involving mental ailments. In October 1983, Lankford was hospitalized after he threatened two persons with a rifle. He also had taken an overdose of drugs. Testing during this period revealed significant elevations on scale 8 schizophrenia and scale 1 hypochodriasis. Id. at 192. His psychological profile suggested he was rebellious, antisocial and nonconforming, lacking in tolerance and apt to maintain social distance and feel socially inadequate. Id. 19 In April 1985, Lankford was again hospitalized and was discharged after seventy-nine days with a diagnosis of schizophrenia, paranoid type, neurosis, and alcohol abuse. Id. at 212. During the course of 1986 to 1988, Lankford was hospitalized a number of times for suicide attempts or erratic behavior. In July 1988, he was admitted to VAHM after shooting the telephone off the wall and threatening suicide. He was evidently drunk and was taking Darvon. 20 Dr. Robert Wyrick found that Lankford was withdrawn from community living and that his degree of adaptive functioning was very poor. Id. at 225, 227. Dr. Wyrick assessed Lankford's prognosis as poor. Id. at 227. 21 Alice Garland, a psychological examiner working under the supervision of Dr. Leonard Miller, in connection with a Medicaid application in 1988, concluded that Lankford had an inability to get along with others and that he used his aggressiveness in dealing with others to get his own way. She also noted that he would have a difficult time working with others and taking orders from a supervisor. Id. at 303. She filled out a medical Assessment of Ability to Do Work-Related Activities (Mental) on September 8, 1988 and reported that Lankford's ability to relate to co-workers, deal with the public, interact with supervisors, behave in an emotionally stable manner, and relate predictably in social situations was only fair. 2 Id. at 337, 339. Ms. Garland concluded that: Due to Mr. Lankford's poor emotional controls, he does not tolerate stress well, and he would have a difficult time in adapting to a work environment. Id. at 338.