PHILIP R. LAMMENS, Magistrate Judge.
On June 4, 2009, Plaintiff filed applications for DIB and SSI alleging a disability onset date of March 26, 2009. (Tr. 231-37, 238-43). Plaintiff filed a prior set of applications, which were denied by an Administrative Law Judge ("ALJ") on March 30, 2009. (Tr. 113-25). Plaintiff did not request review of that decision. (Tr. 13). On March 21, 2011, an ALJ declined to reopen these applications and issued a res judicata decision. (Tr. 126-35). The Appeals Council remanded the case for further proceedings stating that although res judicata applied to the prior period of September 25, 2006 through March 30, 2009, it did not apply to the period since the March 30, 2009 decision. (Tr. 136-39). On October 28, 2011, ALJ Douglas Walker held a hearing (Tr. 42-61) and on November 22, 2011 issued a decision finding Plaintiff not disabled from March 31, 2009 through the date of his decision. (Tr. 13-23).
At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since March 31, 2009, the alleged onset date. (Tr. 15). At step two, the ALJ determined that Plaintiff had the following severe impairments: diabetes mellitus, obesity and affective disorder. (Tr. 15).
At step three, the ALJ found that Plaintiff did not have an impairment or a combination of impairments that meets or medically equals one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (Tr. 16). Next, the ALJ found that Plaintiff retained the residual functional capacity ("RFC") to
(Tr. 16).
At step four, the ALJ determined that Plaintiff was unable to perform any past relevant work. (Tr. 21). However, at step five, the ALJ found that considering Plaintiff's age, education, work experience, and RFC, there are jobs that exist in significant numbers in the national economy that the claimant can perform. (Tr. 21). Thus, the ALJ found that Plaintiff was not disabled from March 31, 2009, through the date of the decision. (Tr. 22). The Appeals Council denied Plaintiff's Request for Review. (Tr. 1-4). After exhausting her administrative remedies, Plaintiff timely filed the instant appeal. (Doc. 1).
A claimant is entitled to disability benefits when she is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to either result in death or last for a continuous period of not less than twelve months. 42 U.S.C. §§416(i)(1), 423(d)(1)(A); 20 C.F.R. §404.1505(a). The Commissioner has established a five-step sequential analysis for evaluating a claim of disability. See 20 C.F.R. §404.1520. The claimant bears the burden of persuasion through step four and, at step five, the burden shifts to the Commissioner. Bowen v. Yuckert, 482 U.S. 137, 146 n. 5 (1987).
The scope of this Court's review is limited to determining whether the ALJ applied the correct legal standards and whether the findings are supported by substantial evidence. McRoberts v. Bowen, 841 F.2d 1077, 1080 (11th Cir. 1988)(citing Richardson v. Perales, 402 U.S. 389, 390 (1971)). The Commissioner's findings of fact are conclusive if supported by substantial evidence. 42 U.S.C. §405(g). Substantial evidence is "more than a scintilla, i.e., evidence that must do more than create a suspicion of the existence of the fact to be established, and such relevant evidence as a reasonable person would accept as adequate to support the conclusion." Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995)(per curiam)(internal citations omitted); see also Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005).
When the Commissioner's decision is supported by substantial evidence, the district court will affirm, even if the reviewer would have reached a contrary result as finder of fact, and even if the reviewer finds that the preponderance of the evidence is against the Commissioner's decision. Edwards v. Sullivan, 937 F.2d 580, 584 n.3 (11th Cir. 1991); Barnes v. Sullivan, 932 F.2d 1356, 1358 (11th Cir. 1991)(per curiam). "The district court must view the record as a whole, taking into account evidence favorable as well as unfavorable to the decision." Foote, 67 F.3d at 1560; see also Lowery v. Sullivan, 979 F.2d 835, 837 (11th Cir. 1992)(stating that the court must scrutinize the entire record to determine the reasonableness of the factual findings).
Plaintiff's primary argument on appeal is that the ALJ failed to properly develop a full and fair record with regard to Plaintiff's "mental health impairment." Specifically, Plaintiff contends that rather than sending Plaintiff out for an updated consultative mental health exam and a mental residual functional capacity assessment, the ALJ erred by relying on outdated medical evidence. (Doc. 27 at 23-25). Plaintiff asserts that "[h]ad ALJ Walker secured the requested mental health examination and an updated mental residual functional capacity assessment from the consultative examiner the decision would have fairly reflected Plaintiff Berry's mental residual functional capacity at the time of the decision." (Doc. 27 at 25).
It is well-settled that the ALJ has a "basic obligation" to develop and full and fair record. Ellison v. Barnhart, 355 F.3d 1272, 1276 (11
Because the Social Security Act requires only substantial evidence to support the ALJ's findings, a consultative examination is not required to establish absolute certainty regarding Plaintiff's condition. Holladay v. Bowen, 848 F.2d 1206, 1210 (11
Here, Plaintiff failed to show that a consultative examination was necessary for the ALJ to make an informed decision or that she was prejudiced by the lack of a consultative examination. As an initial matter, although Plaintiff characterizes certain medical evidence as "outdated," all of the records considered by the ALJ — including the October 2009 consultative psychological evaluation by David M. Bortnick, Ph.D, Psy.D. and the December 2009 opinion by a State agency psychologist — were from the relevant period of time, and thus, properly relied upon.
The ALJ properly relied upon the consultative examination by Dr. Bortnick who evaluated Plaintiff on October 8, 2009, more than six months after the alleged onset date. (Tr. 841-42). The ALJ noted that Dr. Bortnick found Plaintiff friendly, cooperative, alert, and oriented; she had no signs of anxiety, depression, pain, bizarre thinking, or cognitive impairment; she could pay attention and concentrate; she smiled and laughed appropriately; her recent and remote memory were satisfactory. (Tr. 841-42). Plaintiff reported that she lived independently, managed her own affairs, performed all self-care behavior, cooked and did housekeeping, operated a motor vehicle, shopped, was a Vocational Rehabilitation client, and had satisfying interpersonal relationships. (Tr. 842). Dr. Bortnick noted that Plaintiff's allegations of disability were medical, not psychological. (Tr. 842). His impression was "Adjustment Disorder with Depressed Mood by Report" but concluded that Plaintiff had the mental ability to work in some capacity and that she could manage her own finances. (Tr. 842).
The ALJ also considered the more recent records from the Marion County Health Department and correctly noted that Plaintiff reported being depressed and was assessed with depression. (Tr. 843-45, 949-1001). Without pointing to any specific opinions contained in these records or identifying any records that the ALJ failed to discuss, Plaintiff contends that the ALJ failed to properly evaluate opinions of treating physicians purportedly contained therein. (Doc. 27 at 27). The Court is at a loss since a review of these records shows mostly treatment notes, and does not appear to contain an assessment of Plaintiff's functional limitations. Because Plaintiff failed to sufficiently develop and support this argument, the Court declines to address it. See e.g., U.S. Steel Corp. v. Astrue, 495 F.3d 1272, 1287 n.13 (11th Cir. 2007).
The ALJ also addressed the August 9, 2011 Psychiatric Assessment-Mental Status Exam performed by a nurse practitioner at The Centers (Tr. 19, 1013-14).
The ALJ also considered the December 11, 2009 Psychiatric Review Technique ("PRTF") completed by a State agency psychologist. (Tr. 876-89). The State agency psychologist opined that Plaintiff's mental impairment was non-severe secondary to mild restrictions of activities of daily living, mild difficulties in maintaining social functioning, mild difficulties in maintaining concentration, persistence or pace, and no episodes of decompensation. Although Plaintiff contends that the State agency psychologist's opinion was outdated, it was completed during the relevant period of time and the ALJ considered the opinion in light of all of the record evidence. First, the ALJ agreed that Plaintiff had only mild restrictions of activities of daily living, noting that she could take care of her personal needs, perform household chores, cook, mop, sweep, and do the dishes. (Tr. 22, 307-08). Next, the ALJ agreed that Plaintiff had only mild restrictions of activities of social functioning because although Plaintiff stated that she has no friends and would rather be alone, she is able to go to church and to Bible study; she is able to drive, go to the post office and go shopping and has contact with her sister and at least one friend. (Tr. 21, 310-11, 314-21, 842). With respect to concentration, persistence or pace, the ALJ disagreed with the State agency psychologist and found that Plaintiff had moderate deficiencies. (Tr. 21, 886). The ALJ explained that although Dr. Bortnik found that Plaintiff's memory, attention and concentration were normal and Plaintiff's sister reported that Plaintiff could pay bills, count change, use a checkbook, watch television, and read (Tr. 317-18), the records from The Centers showed that Plaintiff experienced problems with memory and cognition. (Tr. 1013-14). The ALJ also agreed with the State agency psychologist that Plaintiff had no episodes of decompensation.
Based on the foregoing, there was sufficient evidence for the ALJ to make an informed decision regarding Plaintiff's mental health impairment. Plaintiff's unsupported allegations are not a sufficient basis for finding that a consultative examination was necessary. Indeed, Plaintiff can only speculate that a consultative examination would support — and not refute — her claim of a disabling mental impairment. Accordingly, the ALJ was not required to order a consultative psychological examination. Moreover, as discussed above, the ALJ's evaluation of Plaintiff's mental impairment was supported by substantial record evidence and Plaintiff has failed to carry her burden to show that her mental health impairment caused greater functional limitations than those assessed by the ALJ.
For the reasons stated above, it is respectfully