MICHELLE H. BURNS, Magistrate Judge.
Pending before the Court is Plaintiff Daniel B. Layton's appeal from the Social Security Administration's final decision to deny his claim for supplemental security income. After reviewing the administrative record and the arguments of the parties, the Court now issues the following ruling.
Plaintiff filed an application for supplemental security income in August 2010, alleging disability beginning August 1, 1993. (Transcript of Administrative Record ("Tr.") at 26, 146-49.) His applications were denied initially and on reconsideration. (Tr. at 77-99.) Thereafter, Plaintiff requested a hearing before an administrative law judge. (Tr. at 40-41.) A hearing was held on May 29, 2012, (Tr. at 47-76), and on August 1, 2012, the ALJ issued a decision finding that Plaintiff was not disabled (Tr. at 23-39). The Appeals Council denied Plaintiff's request for review (Tr. at 1-6), making the ALJ's decision the final decision of the Commissioner. Plaintiff then sought judicial review of the ALJ's decision pursuant to 42 U.S.C. § 405(g).
The Court must affirm the ALJ's findings if the findings are supported by substantial evidence and are free from reversible legal error.
In determining whether substantial evidence supports a decision, the Court considers the administrative record as a whole, weighing both the evidence that supports and the evidence that detracts from the ALJ's conclusion.
In order to be eligible for disability or social security benefits, a claimant must demonstrate an "inability 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 12 months." 42 U.S.C. § 423(d)(1)(A). An ALJ determines a claimant's eligibility for benefits by following a five-step sequential evaluation:
At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity since August 23, 2010 — the application date for benefits. (Tr. at 28.) At step two, he found that Plaintiff had the following severe impairments: "a pervasive developmental disorder, a bipolar disorder, a mood disorder, depression, an obsessive compulsive disorder (OCD, a personality disorder, Asperger's syndrome, and Tourette's syndrome (20 CFR 416.920(c))." (Tr. at 28.) At step three, the ALJ stated that Plaintiff did not have an impairment or combination of impairments that met or medically equaled an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1 of the Commissioner's regulations. (Tr. at 28-29.) After consideration of the entire record, the ALJ found that Plaintiff retained "the residual functional capacity to perform a full range of work at all exertional levels, but he has non-exertional limitations. He is capable of performing simple, unskilled work that does not require interaction with the public or dependence upon co-workers in order to do the work."
Therefore, the ALJ concluded that Plaintiff "has not been under a disability ... since August 23, 2010, the date the application for benefits was filed." (Tr. at 34-35.)
In his brief, Plaintiff contends that the ALJ erred by: (1) failing to properly weigh medical source opinion evidence; (2) failing to properly consider his subjective complaints; and (3) failing to set forth a sufficiently specific residual functional capacity assessment. Plaintiff requests that the Court remand for determination of benefits.
Plaintiff contends that the ALJ erred by failing to properly weigh medical source opinion evidence. Specifically, Plaintiff argues that the ALJ improperly rejected the opinion of treating psychiatrist, Michael Stumpf, M.D., relying instead upon the opinions from state agency doctors who completed assessment forms as part of the initial and reconsideration determinations that were based on limited record reviews.
"The ALJ is responsible for resolving conflicts in the medical record."
If a treating physician's opinion is not contradicted by the opinion of another physician, then the ALJ may discount the treating physician's opinion only for "clear and convincing" reasons.
Since the opinion of Dr. Stumpf was contradicted by state agency physicians, as well as, other objective medical evidence, the specific and legitimate standard applies.
Historically, the courts have recognized the following as specific, legitimate reasons for disregarding a treating or examining physician's opinion: conflicting medical evidence; the absence of regular medical treatment during the alleged period of disability; the lack of medical support for doctors' reports based substantially on a claimant's subjective complaints of pain; and medical opinions that are brief, conclusory, and inadequately supported by medical evidence.
The ALJ considered the following objective medical evidence of Plaintiff's impairments in his determination of Plaintiff's residual functional capacity assessment.
For the first nine months of 2010, Plaintiff saw Beatrice Yang, M.D., at Terros for psychiatric care; his diagnoses were listed as OCD, pervasive developmental disorder, bipolar disorder, Tourette's, and ADD with hyperactivity, and he was assigned a GAF score of 55, indicating moderate symptoms. (Tr. at 315, 292-93, 311-37, 467-74, 477-500, 507-14, 518-21 (containing duplicates).) Plaintiff saw Dr. Yang approximately five times in mid-2010. (Tr. at 294-305, 307-09 (duplicated at Tr. at 447-49, 458-60, 501-06).) At these sessions, Dr. Yang noted largely normal mental status examination findings, (Tr. at 295, 301, 304, 307-08), aside from increased agitation and an inappropriate affect at one visit, (Tr. at 298), and Plaintiff's mother reported behavioral problems at a few visits, (Tr. at 294, 297).
Also during this time period, Plaintiff was hospitalized for a behavioral episode involving an anger outburst and aggressive behavior toward a sibling. (Tr. at 272-83, 346-59, 361-63.) Notes show that he was discharged after five days with a euthymic mood, broad affect, reality-based perceptions, fair-to-good judgment, intact memory, and was fully oriented, with a GAF score of 55. (Tr. at 274-75.) Shortly after the hospitalization, Terros notes show that Plaintiff discontinued treatment with Dr. Yang. (Tr. at 573-83.)
The next month, in October 2010, Plaintiff began seeing psychiatrist Dr. Stumpf at Mountain Health & Wellness. On intake, Dr. Stumpf noted that Plaintiff had an intense affect and poor concentration, judgment, and insight, but otherwise normal mental status examination findings; Dr. Stumpf diagnosed mood disorder and personality disorder, and assigned Plaintiff a GAF of 55. (Tr. at 526-32.)
Plaintiff continued to see Dr. Stumpf approximately every three months through the remainder of the relevant time period (to August 2012, the date of the ALJ's decision). (Tr. at 533-40, 545-48, 561-64, 583-86, 592-94, 600-03, 607-10, 615-17 (duplicated at Tr. at 566-59).). Dr. Stumpf's treatment notes show normal mental status examinations, (Tr. at 534-35, 616-17), aside from an irritable and demanding mood at one visit, (Tr. at 538-39), and poor insight and judgment at some visits, (Tr. at 546-47, 563-64, 602, 608-09).
In May 2009, Steven Shively, Ph.D., performed a psychological vocational evaluation. (Tr. at 396-406 (duplicated at Tr. 408-18).) Testing showed that Plaintiff had a full scale IQ score of 85 (low average) and a personality assessment did not identify any clinically significant concerns with regard to thought, experience, antisocial behavior, suspiciousness, depression, or unusually elevated mood. (Tr. at 400, 404.) Dr. Shively indicated that Plaintiff had average cognitive ability, verbal comprehension, perceptual reasoning, vocabulary, verbal expression; good learning ability; very well developed fund of information and pattern recognition and analysis; and limited working and immediate memory, information retention, cognitive processing and manipulation, attention capacity, motor coordination, and visual motor feedback and learning. (Tr. at 404.) Dr. Shively diagnosed Asperger's disorder, bipolar disorder, and OCD, and assigned Plaintiff a GAF score of 75, indicating no more than slight impairments. (Tr. at 404.)
In August 2009, Shirley Ripp, M.S., performed a vocational evaluation, during which testing showed that Plaintiff adequately met competitive standards in all areas of work functioning and exceeded competitive standards in cooperativeness, but Ms. Ripp noted that Plaintiff may benefit from work adjustment training. (Tr. at 371-87.)
In February 2011, state agency physician Hubert Estes, M.D., reviewed Plaintiff's medical records and opined that Plaintiff had some moderate limitations but retained the ability to understand, remember, and carry out one and two step instructions and tasks in a setting of low social contact. (Tr. at 82-86.) A state agency psychologist, Jaine Foster-Valdez, Ph.D., later reviewed Plaintiff's medical records and agreed. (Tr. at 94-99.)
Finally, in May 2012, Dr. Stumpf completed a medical assessment of Plaintiff's ability to perform work-related activities. (Tr. at 619-20.) He opined that Plaintiff had moderate limitations in caring for personal habits, having constriction of interests, and performing simple tasks, and moderately severe limitations in relating to others, performing activities of daily living, understanding, carrying out, and remembering instructions, responding to supervisors, co-workers, and work pressures, performing complex tasks, performing repetitive tasks, performing varied tasks, and completing a normal workday/workweek. (Tr. at 619-20.)
In his evaluation of the objective medical evidence, the ALJ discussed the state agency doctors' opinions that, despite his mental limitations, Plaintiff could understand, remember, and carry out simple instructions and tasks in a work setting with low social contact. (Tr. at 32.) The ALJ found that, even though these two doctors did not treat or examine Plaintiff, their opinions were consistent with the record as a whole, and thus largely adopted their opinions in assessing Plaintiff's residual functional capacity. (Tr. at 32);
The ALJ then discussed Dr. Stumpf's opinion that Plaintiff had moderate or moderately severe limitations in all areas of work-related functioning. (Tr. at 31.) The ALJ reasonably discounted the opinion for a number of reasons. (Tr. at 31);
The Court finds that the ALJ properly weighed the medical source opinion evidence related to Plaintiff's impairments, and gave specific and legitimate reasons, based on substantial evidence in the record, for discounting Dr. Stumpf's assessment. Therefore, the Court finds no error.
Plaintiff argues that the ALJ erred in rejecting his subjective complaints in the absence of clear and convincing reasons for doing so.
To determine whether a claimant's testimony regarding subjective pain or symptoms is credible, the ALJ must engage in a two-step analysis. "First, the ALJ must determine whether the claimant has presented objective medical evidence of an underlying impairment `which could reasonably be expected to produce the pain or other symptoms alleged.' The claimant, however, `need not show that her impairment could reasonably be expected to cause the severity of the symptom she has alleged; she need only show that it could reasonably have caused some degree of the symptom.'"
In weighing a claimant's credibility, the ALJ may consider many factors, including, "(1) ordinary techniques of credibility evaluation, such as the claimant's reputation for lying, prior inconsistent statements concerning the symptoms, and other testimony by the claimant that appears less than candid; (2) unexplained or inadequately explained failure to seek treatment or to follow a prescribed course of treatment; and (3) the claimant's daily activities."
At Plaintiff's hearing on May 29, 2012, Plaintiff was represented by an attorney. (Tr. at 47.) Plaintiff testified that he lived with his parents and two brothers. (Tr. at 54.) He stated that he had problems remembering, problems getting along with others, and problems controlling his anger. (Tr. at 58-61.) Plaintiff also suffered from varying sleep cycles, sometimes sleeping several hours during the daytime, and other times hardly sleeping at all. (Tr. at 65-66.)
Having reviewed the record along with the ALJ's credibility analysis, the Court finds that the ALJ made sufficient credibility findings and identified several clear and convincing reasons supported by the record for discounting Plaintiff's statements regarding his pain and limitations. Although the ALJ recognized that Plaintiff's medically determinable impairments could reasonably be expected to cause the alleged symptoms, he also found that Plaintiff's statements concerning the intensity, persistence, and limiting effects of the symptoms were not fully credible. (Tr. at 29-33.)
In his evaluation of Plaintiff's credibility, the ALJ first referenced the objective medical evidence (noted above) detailing the numerous opinions regarding Plaintiff's work-related abilities. The ALJ concluded that Plaintiff's statements were not credible "since they are not supported in their intensity or their severity by the objective medical evidence of record." (Tr. at 30-33);
The ALJ additionally analyzed Plaintiff's "mild restrictions" in his activities of daily living finding that said activities also reduced Plaintiff's credibility. (Tr. at 29-33.) "[I]f the claimant engages in numerous daily activities involving skills that could be transferred to the workplace, an adjudicator may discredit the claimant's allegations upon making specific findings relating to the claimant's daily activities."
While not alone conclusive on the issue of disability, an ALJ can reasonably consider a claimant's daily activities in evaluating the credibility of his subjective complaints.
In summary, the Court finds that the ALJ provided a sufficient basis to find Plaintiff's allegations not entirely credible. While perhaps the individual factors, viewed in isolation, are not sufficient to uphold the ALJ's decision to discredit Plaintiff's allegations, each factor is relevant to the ALJ's overall analysis, and it was the cumulative effect of all the factors that led to the ALJ's decision. The Court concludes that the ALJ has supported his decision to discredit Plaintiff's allegations with specific, clear and convincing reasons and, therefore, the Court finds no error.
Plaintiff contends that the ALJ erred in failing to set forth a sufficiently specific residual functional capacity assessment.
The ALJ explicitly found that Plaintiff could perform "simple, unskilled work [at all exertional levels] that does not require interaction with the public or dependence on co-workers in order to do the work." The regulations define "unskilled work" as "work which needs little or no judgment to do simple duties that can be learned on the job in a short period of time." 20 C.F.R. § 416.968(a). The regulations (SSR 85-15) further define "unskilled work" as follows:
A finding that Plaintiff was limited to "unskilled work" necessarily encompasses these limitations. Thus, contrary to Plaintiff's argument, the ALJ did set forth a sufficiently specific residual functional capacity assessment of Plaintiff's ability to perform work when the ALJ limited Plaintiff to simple, unskilled work with limited social contact. (Tr. at 29.) Plaintiff fails to indicate what else was required by the ALJ.
The Court finds no error.
Substantial evidence supports the ALJ's decision to deny Plaintiff's claim for supplemental security income in this case. Consequently, the ALJ's decision is affirmed.
Based upon the foregoing discussion,