G.R. SMITH, Magistrate Judge.
Alleging disability due to attention-deficit, hyper-activity disorder (ADHD), pro se plaintiff Quandaris Ford (through his mother Shineka Ford) seeks judicial review of the Social Security Commissioner's denial of his application for Supplemental Security Income (SSI) benefits. Docs. 1; 15.
In social security cases, courts:
Mitchell v. Comm'r, Soc. Sec. Admin., 771 F.3d 780, 782 (11th Cir. 2014).
The burden of proving disability lies with the underage claimant. T.R.C. ex rel. Boyd v. Comm'r, Soc. Sec., Admin., 553 F. App'x 914, 919 (11th Cir. Jan. 28, 2014). To meet that burden, he must:
Parks ex rel. D.P. v. Comm'r, Soc. Sec. Admin., 783 F.3d 847, 850 (11th Cir. 2015).
T.R.C. ex rel. Boyd, 553 F. App'x at 918.
Ford, ten and in the fourth grade at the time of the administrative law judge's (ALJ) final decision denying benefits, doc. 12-2 at 21, claims difficulty in learning, reading and understanding, writing in longhand, and changing money, among other areas. Doc. 12-6 at 23. His mother reports that he cannot make new friends and had to be taken out of baseball because he could not get along with his teammates. Id. at 25. Although he takes Adderall for his condition, when off the medicine, Ford loses focus, has violent mood swings, and "the disability takes over." Id. at 38.
Nevertheless, despite some disciplinary issues and "a bad habit of blurting out in class," doc. 12-7 at 56-57, plaintiff's school records reflect A's, B's, and C's, with a GPA of 75. Doc. 12-6 at 45. While on Adderrall, school "go[es] well," and he is more focused. Doc. 12-7 at 9. Overall, he is "[d]oing well and meeting milestones." Id.
Ford filed for disability benefits on April 11, 2011, alleging a disability onset that same day. Doc. 12-2 at 9. Following an administrative denial, his mother testified at a hearing on March 11, 2013 before the ALJ, who later denied his application. Id.
After finding that Ford had not engaged in substantial gainful activity since the onset of disability, the ALJ determined that Ford's ADHD and Opposition Defiant Disorder (ODD), but not his asthma, qualified as a severe impairments. Id. at 12. They did not, however, meet or medically equal the severity of a listed condition in 20 C.F.R. § 924-26. Id. at 13.
The ALJ then assessed whether Ford's impairments functionally equaled a listed condition (step three). Id. He explained that he considered all the medical evidence, which confirmed some limitation due to ADHD and ODD. Id. at 14. He evaluated Ford's mother's testimony and made credibility determinations based on the medical evidence as well as statements he found inconsistent with that evidence. Id. The ALJ also evaluated the opinions of evaluating psychologist, Dr. Daniel Nagelberg, and two state psychological consultants, Drs. Richard Marting and Morgan Kyle, and assigned them "significant weight" because they were consistent with Ford's function report, and school and medical records. Id. at 15. Ultimately, the ALJ found no functional equivalence, and thus no disability, because Ford's impairment did not result in "marked" limitations in two of six functional domains or an "extreme" limitation in one domain. Id. at 20.
Ford's complaint suffers from two non-substantive yet fatal flaws: (1) he failed to comply with the Court's briefing order (doc. 13), and (2) his brief's many deficiencies result in waiver of all issues he might have raised. The briefing order instructed that the parties' include a statement of issues; a statement of the case, including the course of proceedings and a general facts statement (itself to include basics such as the plaintiff's age, summary of impairments, and a brief outline of the medical evidence) supported by citation to the record; an argument supported by reference to the record; and a conclusion in their briefs. Doc. 13 at 3-4. And, importantly, it stated explicitly that "[t]he issues before the Court are limited to the issues properly raised in the briefs." Id. at 4.
Ford's brief violated every single one of those instructions. It contains no facts, just more evidence (school records primarily) that's duplicative of that in the administrative record.
Those failures also result in waiver of any issues Ford might have raised. Certainly pro se briefs must be read liberally, but "issues not briefed on appeal by a pro se litigant are deemed abandoned." Timson v. Sampson, 518 F.3d 870, 874 (11th Cir. 2008). And Ford raises no issues (much less presents argument) outside of dissatisfaction with denial. Faced with such across-the-board deficiencies — and particularly given the Court's specific admonition that it would consider only briefed issues, doc. 13 at 4 — the Court concludes that plaintiff waived any issues he has with the Commissioner's denial. See Enriques v. United States, 416 F. App'x 849, 850 (11th Cir. 2011) ("[I]ssues not argued by a pro se litigant in his initial brief are deemed waived.").
Even ignoring those fatal deficiencies, Ford's claim fails on its merits because substantial evidence justifies the ALJ's no disability finding. First, the ALJ properly concluded that Ford's ADHD did not meet or medically equal listing 112.11 (ADHD).
Second, substantial evidence supports the ALJ's finding that Ford's ADHD did not functionally equal a listed impairment. The ALJ found no limitations in three functional domains: (1) acquiring and using information (doc. 12-2 at 16); (2) moving about and manipulating objects (id. at 19); and (3) caring for himself. Id. at 19. He found some, but less than marked, limitations in the remaining three: (1) attending and completing tasks (id. at 17); (2) interacting and relating with others (id. at 18); and (3) health and physical well-being. Id. at 20). All six findings should be affirmed.
This domain concerns how well a child acquires and learns information and how well he uses the information he has learned. See 20 C.F.R. § 416.926a(g). It involves how well a child perceives, thinks about, remembers, and uses information in all settings, including home, school, and in the community. Id.
Neither Dr. Marting or Dr. Kyle found limitations in this domain, see doc. 12-7 at 42, 48, nor did Dr. Nagelberg,
Assessing this domain requires inquiry into how well a child is able to focus and maintain his attention, and how well he begins, carries through, and finishes his activities, including the pace at which he performs activities and the ease with which he changes them. See 20 C.F.R. § 416.926a(h); Bryant v. Soc. Sec. Admin., 478 F. App'x 644, 646 (11th Cir. 2012); SSR 09-4p, 2009 WL 396033 at *1 (S.S.A.). Among other things, a school aged child without impairment should be able to focus his attention in a variety of situations in order to follow directions; remember and organize school materials; complete classroom and homework assignments; concentrate on details; not make careless mistakes in his work (beyond those expected in non-impaired children of the same age); and change activities or routines without distraction. See 20 C.F.R. § 416.926a(h)(2)(iv); SSR 09-4p, 2009 WL 396033 at *5.
The ALJ, relying on the opinions of Drs. Marting, Kyle, and Nagelberg, found less than marked limitations in this domain. Doc. 12-7 at 42, 48. All three experts, while considering Ford's ADHD symptoms, his difficulty getting along with others, and evidence that Adderall significantly improved his symptoms,
Although Ford's "ability to sustain attention and complete tasks" may well be "compromised," doc. 12-7 at 39, "more than a scintilla" of evidence supports the ALJ's "less than marked limitations" finding in the "attending and completing tasks" domain. Cf. Bryant, 478 F. App'x at 646 ("less than marked" finding in the tasks domain appropriate where child "was easily distracted and had a short attention span," but "had only slight problems paying attention when spoken to, focusing on finishing tasks, taking turns, and changing activities when instructed").
For this domain, ALJs consider:
SSR 09-5p, 2009 WL 396026 at *2 (SSA Feb. 17, 2009).
The ALJ here noted that "[s]chool records reflect . . . [Ford] arguing with his teacher," and all examining and consultative experts found "some issues getting along with others and paying attention." Doc. 12-2 at 14-15. Still, Dr. Nagelberg, for example, reported that Ford was cooperative, polite, and friendly during his examination. Doc. 12-7 at 36. Dr. Tometricia Brown, another examining physician, also reported that his oppositional behaviors improved when on medication. Id. at 33.
Certainly evidence exists that indicates Ford has issues getting along well with others. See, e.g., doc. 12-6 at 25 (Ford struggles to make new friends and work with teammates). But the Court cannot reweigh the evidence and decide that his functioning rises to the level of a marked limitation. See Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005); see also Carson v. Comm'r of Soc. Sec., 440 F. App'x 863, 864 (11th Cir. 2011) ("Simply because the ALJ chose not to adopt further limitations on [the claimant's] ability to walk or stand, does not mean the ALJ did not properly consider the alleged limitations."). It can only decide whether substantial evidence supports the ALJ's decision. Dyer, 395 F.3d at 1210 ("If the Commissioner's decision is supported by substantial evidence, this Court must affirm, even if the proof preponderates against it."). And for the "interacting with others" domain, it does. Cf. Muhammad ex rel. T.I.M. v. Comm'r of Soc. Sec., 395 F. App'x 593, (11th Cir. 2010) (substantial evidence supported less than marked limitation in interaction domain despite treating psychologists contrary conclusion, where child played cooperatively with other children and made friends, but had problems respecting adults in authority, expressing anger, and using language appropriate to the situation).
One of the more self-explanatory domains, this category evaluates a child's ability to move his body from one place to another and how he moves and manipulates objects using gross and/or fine motor skills. See 20 C.F.R. § 416.926a(j); SSR 09-6p, 2009 WL 396028 at *2. The ALJ found no limitation, and rightfully so; nothing in the record indicates otherwise.
"This domain considers how well a child maintains a healthy emotional and physical state, including how well a child satisfies his physical and emotional wants and needs in appropriate ways." Doc. 12-2 at 19 (citing 20 C.F.R. § 416.926a(k)). As with the "moving about" domain, nothing in the record, including Ford's mother's own reporting, shows any limitation to his ability to self-care. The ALJ's conclusion to that effect thus should be affirmed. Id.
The final domain considers the cumulative physical effects of physical and mental impairments and any associated treatments or therapies on a child's health and functioning that were not considered in the evaluation of the child's ability to move about and manipulate objects. See 20 C.F.R. § 416.926a(i); SSR 09-8p, 2009 WL 396030 at *2 (SSA Feb. 17, 2009). Unlike the other five domains, this one does not address typical development and functioning. SSR 09-8p, 2009 WL 396030 at *2. Instead, it addresses how recurrent illness, the side effects of medication, and the need for ongoing treatment affect the child's health and sense of physical well-being. See id.
In finding that Ford had a less than marked limitation in this domain, the ALJ noted his asthma diagnosis but found it not a severe impairment. Doc. 12-2 at 12 (citing doctor reports that Ford's asthma caused "mild limitations at best"). Both Drs. Marting and Kyle also found less than marked limitations in this domain. Doc. 12-7 at 43, 49. Notably, Ford's mother did not allege asthma as a disabling impairment, nor did she list any physical impairments on his function report. Doc. 12-2 at 12; doc. 12-6 at 120-29. Although she did testify that Adderall caused insomnia and loss of appetite, doc. 12-2 at 34, she denied that it caused him other side-effects, and, in any case, medical records reflect that he had a normal appetite. Doc. 12-7 at 33. In other words, "such relevant evidence as a reasonable person would accept as adequate" supports the ALJ's conclusion that Ford suffered a less than marked limitation in the health and physical well-being domain.
Substantial evidence supports the ALJ's conclusion that Ford's ADHD and ODD do not meet or functionally equal a listed impairment and thus that he is "not disabled." Doc. 12-2 at 20. Accordingly, the Commissioner's decision denying benefits should be affirmed.
Doc. 12-2 at 15-16; See 20 C.F.R. § 416.926a(g)(2)(iv); Social Security Ruling (SSR) 09-3p, 2009 WL 396025 at *5 (S.S.A. Feb. 17, 2009).