WALLACE CAPEL, Jr., Magistrate Judge.
Plaintiff, John Curtis Papenleur, applied for supplemental security income benefits under Title XVI of the Act, 1381 et seq. His application was denied at the initial administrative level. Plaintiff then requested and received a hearing before an Administrative Law Judge ("ALJ"). Following the hearing, the ALJ issued a decision in which she found Plaintiff not disabled at any time through the date of the decision. The Appeals Council rejected Plaintiff's request for review of the ALJ's decision. The ALJ's decision consequently became the final decision of the Commissioner of Social Security ("Commissioner").
Under 42 U.S.C. § 423(d)(1)(A), a person is entitled to disability benefits when the person is unable to
42 U.S.C. § 423(d)(1)(A).
To make this determination, the Commissioner employs a five-step, sequential evaluation process. See 20 C.F.R. §§ 404.1520, 416.920 (2006).
McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986).
The burden of proof rests on a claimant through Step 4. See Phillips v. Barnhart, 357 F.3d 1232, 1237-39 (11th Cir. 2004). A claimant establishes a prima facie case of qualifying disability once they have carried the burden of proof from Step 1 through Step 4. At Step 5, the burden shifts to the Commissioner, who must then show there are a significant number of jobs in the national economy the claimant can perform. Id.
To perform the fourth and fifth steps, the ALJ must determine the claimant's Residual Functional Capacity (RFC). Id. at 1238-39. RFC is what the claimant is still able to do despite his impairments and is based on all relevant medical and other evidence. Id. It also can contain both exertional and nonexertional limitations. Id. at 1242-43. At the fifth step, the ALJ considers the claimant's RFC, age, education, and work experience to determine if there are jobs available in the national economy the claimant can perform. Id. at 1239. To do this, the ALJ can either use the Medical Vocational Guidelines
The grids allow the ALJ to consider factors such as age, confinement to sedentary or light work, inability to speak English, educational deficiencies, and lack of job experience. Each factor can independently limit the number of jobs realistically available to an individual. Phillips, 357 F.3d at 1240. Combinations of these factors yield a statutorily-required finding of "Disabled" or "Not Disabled." Id.
The Court's review of the Commissioner's decision is a limited one. This Court must find the Commissioner's decision conclusive if it is supported by substantial evidence. 42 U.S.C. § 405(g); Graham v. Apfel, 129 F.3d 1420, 1422 (11th Cir. 1997). "Substantial evidence is more than a scintilla, but less than a preponderance. It is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971). See also Crawford v. Comm'r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir. 2004) ("Even if the evidence preponderates against the Commissioner's findings, [a reviewing court] must affirm if the decision reached is supported by substantial evidence."). A reviewing court may not look only to those parts of the record which support the decision of the ALJ, but instead must view the record in its entirety and take account of evidence which detracts from the evidence relied on by the ALJ. Hillsman v. Bowen, 804 F.2d 1179 (11th Cir. 1986).
Walker v. Bowen, 826 F.2d 996, 999 (11th Cir. 1987).
Plaintiff was 19 years old at the time he filed his application and had a high school education. Tr. 22 & 119. Plaintiff had no past relevant work experience. Tr. 22. Following the administrative hearing, and employing the five-step process, the ALJ found Plaintiff "has not engaged in substantial gainful activity since February 1, 2010, the alleged onset date." (Step 1) Tr. 12. At Step 2, the ALJ found that Plaintiff suffers from the following severe impairments: "ADHD; impulse control disorder; conduct disorder; disruptive behavior disorder; mood disorder; major depressive disorder, recurrent, moderate; history of bipolar disorder; upper-end borderline intellectual functioning; history of neglect and sexual abuse of child (allegedly both as victim and perpetrator); history of disorder of written expression; and noncompliance with medical treatment, the latter of which constitutes a separate and independent basis for denial of benefits." Id. The ALJ then found that Plaintiff "does not have an impairment or combination of impairments that meets or medically equals one of the listed impairments listed in 20 CFR Part 404, Subpart P, Appendix 1 (20 CFR 416.920(d), 416.925 and 416.926)." Id. Next, the ALJ found that Plaintiff "has no physical impairments or restrictions," but mentally, has the RFC "to perform less than the full range of work at all exertional levels," with several nonexertional limitations. Tr. 14. The ALJ then concluded that transferability of job skills was not a factor because Plaintiff did not have past relevant work. (Step 4) Tr. 22. At Step 5, the ALJ found that, "[c]onsidering the claimant's age, education, work experience, and residual functional capacity," and after consulting with a VE, "there are jobs that exist in significant numbers in the national economy that the claimant can perform." Tr. 22. The ALJ identified the following occupations as examples: "small parts assembler," "hand packager," and "general utility worker." Tr. 23. Accordingly, the ALJ determined that Plaintiff had not been under a disability from the alleged onset date, through the date of the decision. Id.
Plaintiff presents two issues for this court's consideration in review of the ALJ's decision: 1) "Whether the ALJ erred in failing to find the Claimant disabled under Listing 12.08 for a personality disorder"; and 2) "Whether the ALJ erred in finding that the Claimant's non-compliance with medical treatment constituted a separate and independent basis for denial of benefits." Pl.'s Br. (Doc. 11) at 8.
Plaintiff argues that he meets the listing under 12.08 for Personality Disorder. Listing 12.08 of 20 CFR, Part 404, Subpart B, Appendix I, reads as follows:
Plaintiff asserts that he meets this listing and the requirements of both paragraphs A and B. With regards to "paragraph A" of the listing, Plaintiff lists his various diagnoses, including the severe impairments found by the ALJ, and cites to some in-house treatments. Pl.'s Br. (Doc. 11) at 9-10. Plaintiff also points the court to his own and his mother's testimony regarding his condition. Id. However, whether he meets the requirements of "paragraph A" is irrelevant to the ALJ's decision, because the ALJ found that Plaintiff did not meet the listing because he could not satisfy the "paragraph B" requirements. The ALJ found that "[b]ecause the claimant's mental impairments do not cause at least two `marked' limitations or one `marked' limitation and `repeated' episodes of decompensation, each of extended duration, the `paragraph B' criteria are not satisfied." Tr. 14. Thus, the ALJ found that Plaintiff did not meet the listing.
With regard to the "paragraph B" requirements, Plaintiff argues that he does suffer "a `marked' restriction of activities of daily living, marked difficulties in maintaining social functioning and marked difficulties in maintaining concentration, persistence, or pace." Pl.'s Br. (Doc. 11) at 10. In other words, Plaintiff asserts that he meets 3 of the 4 requirements of "paragraph B." In support, Plaintiff points to the opinion of Dr. Rodriguez and his opinion of Plaintiff's ability to interact with the general public. Id. Plaintiff also points to his own testimony regarding his activities of daily living, arguing that his:
Id.
With regard to Dr. Rodriguez, the doctor did opine, in the Mental Residual Functional Capacity Assessment, that Plaintiff was "markedly limited" in his ability to interact appropriately with the general public. Tr. 349. This however, is a different diagnostic than the three criteria in "paragraph B." In each of those areas, Dr. Rodriguez specifically found that Plaintiff suffered only moderate limitations. Tr. 344. Thus, Dr. Rodriguez's opinion directly supports the ALJ's findings.
With regard to his own testimony of daily living, the ALJ discounted the limiting nature of those activities in light of the other medical evidence of record. Tr. 21. Indeed, the ALJ considered the opinions of Drs. Rodriguez, Brantley, and McKeown and other medical evidence of record in determining that Plaintiff did not meet the listing. Plaintiff does not attack that evidence, or the substance of the ALJ's findings, and fails to point the court to evidence of record in support of a finding that he met the listing. The court finds the ALJ's determination to be without error and Plaintiff's argument to be without merit.
Arguing that the ALJ improperly considered Plaintiff's non-compliance with medical treatment, Plaintiff states that "there was no evidence, much less substantial evidence, from a treating physician that the Claimant would be able to work if he followed the recommended treatment of his treating physician" and that he lacked transportation to seek treatment. Pl.'s Br. (Doc. 11) at 11.
An ALJ can rely on a failure to seek medical treatment in making a finding of not disabled. However, if non-compliance is the sole factor, an ALJ should consider financial inability. See Ellison v. Barnhart, 355 F.3d 1272, 1276 (11th Cir. 2003). As in Ellison, the ALJ's decision here did not rest entirely on non-compliance. In fact, the ALJ specifically stated that non-compliance was a separate and independent basis for a finding of not disabled. The primary basis was that Plaintiff's "subjective, self-serving limitations and those of the claimant's non-medical witnesses . . . exceeded those found by the qualified medical professionals." Tr. 22. Thus, the ALJ's decision was based on the medical evidence of record. Therefore, even were the court to find the non-compliance finding to be error, the ALJ's decision would still stand.
Moreover, the issue is not whether there is evidence "from a treating physician that the Claimant would be able to work if he followed the recommended treatment of his treating physician," the issue is whether there is evidence to support Plaintiff's contention that he cannot work. "[T]he claimant bears the burden of proving that [he] is disabled, and, consequently, [he] is responsible for producing evidence in support of [his] claim." Ellison, 355 F.3d at 1276. The medical evidence in this case supports the ALJ's determination of not disabled and the court finds Plaintiff's argument to be without merit.
The court has carefully and independently reviewed the record and concludes that, for the reasons given above, the decision of the Commissioner is AFFIRMED. A separate judgment will issue.