G.R. SMITH, Magistrate Judge.
Alleging disability due to Asperger's syndrome, attention deficit disorder, central auditory processing disorder and other maladies, Jennifer Wrene Marshall seeks judicial review of the Social Security Commissioner's denial of her Child Insurance Benefits (CIB) based on disability and Supplemental Security Income (SSI). Doc. 1 at 1.
In social security cases, courts:
Mitchell v. Commissioner, Soc. Sec. Admin., 771 F.3d 780, 782 (11th Cir. 2014).
The burden of proving disability lies with the claimant. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005). In response to the showing the claimant makes, the ALJ applies
Stone v. Comm'r. of Soc. Sec. Admin., 2015 WL 106620 at *1 (11th Cir. Jan. 15, 2015) (footnote added).
A CIB "claimant must show that she is the child of an individual who is entitled to old-age or disability insurance benefits and is dependent on the insured, is unmarried, and was under a disability as defined in the Act that began before [s]he attained the age of twenty-two." Solomon v. Colvin, 2013 WL 3778447 at *3 (S.D. Ala. July 18, 2013); see also Bzadogh v. Comm'r of Soc. Sec., 2015 WL 627704 at *5 (D.N.J. Feb. 9, 2015) (same criteria applied, concluding: "Plaintiff simply has not carried her burden of proving the severity of her disability prior to the age of twenty-two."); 42 U.S.C. §§ 402(d)(1), 423(d)(1)(A); 20 C.F.R. § 404.350(a)(5).
Marshall applied for CIB and SSI benefits in 2010, claiming disability commencing on or about April 1, 2008, but seeking benefits from May 28, 2010. Doc. 8-2 at 27, 45; doc. 1 at 1. Following administrative denial, she (then aged 21) attended a 2012 hearing before an Administrative Law Judge (ALJ). Doc. 8-2 at 42, 47. He denied her application and that was upheld by the SSA's Appeals Council. Doc. 8-2 at 9-11, 36.
The ALJ determined that Marshall had not attained the age of 22 before her claimed disability onset date, April 1, 2008. Doc. 8-2 at 29. Nor had she engaged in substantial gainful activity since that date. Id. She suffers "the following severe impairments: Asperger's syndrome; attention deficit hyperactive disorder (ADHD); and central auditory processing disorder (20 CFR 404. 1520(c)and 416.920(c))," Id. at 29-30.
That brought her to step three, where the ALJ determined that she does not have a severe enough impairment that met SSA guidelines. Id. at 30. Thus, the ALJ proceeded to step four, which required that he first determine her RFC to perform work at all exertional levels. As noted supra n. 1, RFC "is an assessment, based upon all of the relevant evidence, of a claimant's remaining ability to do work despite his impairments." Lewis, 125 F.3d at 1440; Harris v. Colvin, 2014 WL 5844240 at *6 (S.D. Ala. Nov. 12, 2014). Once the ALJ determines an RFC, the claimant must show (as Marshall argues here) that it is not supported by substantial evidence. Harris, 2014 WL 5844240 at *6.
Here the ALJ found that Marshall had an RFC that enabled her to perform work at all exertional levels subject to some mental limitations. Doc. 8-2 at 32-34. There was no past relevant work that she could return to (another step four criteria), so the ALJ proceeded to step five and consulted a Vocational Expert (VE). Responding to the ALJ's hypothetical questions, the VE opined that she could perform available, "light/unskilled" jobs like a file clerk,
Relying on the VE's testimony, which the ALJ found to be "consistent with the information contained in the Dictionary of Occupational Title," doe. 8-2 at 35; see also id. at 76 (the VE testified to that end), the ALJ found that Marshall could adjust to other work existing in significant numbers in the national economy and, therefore, she was not disabled. Id. at 34-36; see 20 C.F.R. § 404.1520(a)(4)(v) ("At the fifth and last step, we consider our assessment of your [RFC] and your age, education, and work experience to see if you can make an adjustment to other work. If you can make an adjustment to other work, we will find that you are not disabled. If you cannot make an adjustment to other work, we will find that you are disabled.").
After presenting a comprehensive recitation of her mental health and other records from February 2001 onward,
An ALJ must accord substantial weight to the opinion, diagnosis, and medical evidence of a treating physician unless there is good cause to do otherwise. Lewis, 125 F.3d at 1440; Farkas v. Astrue, 2012 WL 750547 at *6 (M.D. Fla. Mar. 8, 2012). There is good cause when the:
Farkas, 2012 WL 750547 at *6.
"Generally, the opinions of examining physicians are given more weight than those of non-examining physicians, treating physicians are given more weight than those of physicians who examine but do not treat, and the opinions of specialists are given more weight on issues within the area of expertise than those of non-specialists." McNamee v. Soc. Sec. Admin., 164 F. App'x 919, 923 (11th Cir. 2006). And non-examining, consultative physicians are due the least weight, though the regulations still require that the ALJ consider their opinions and determine that weight based upon their consistency with the evidence of record. 20 C.F.R. § 404.1527(f); see also Tapley, 2015 WL 764022 at *3 ("As a general rule, the opinion of a one-time examiner is not entitled to great weight and may be discredited by other evidence in the record.") (cite omitted).
Marshall specifically complains that the ALJ gave "no weight" to the opinions of treating psychologist Patrice Butterfield and treating physician Kevin J. Winders — of the "Savannah Psychiatry" practice group. Doc. 10 at 14. "The ALJ erred," she contends, "by rejecting every single medical opinion in the record." Id. at 15. And she insists that theirs "are medical opinions, not bald legal opinions on disability." Id.
The record authorized the ALJ to reject the Butterfield and Winders opinions. At the hearing he expressly cited his review of their records and even paused to explain his assessment, for example, of Butterfield's opinion: "I can't give any weight to Dr. Butterfield's assessment that she's in the [Global Functioning Score
Also at the hearing, the ALJ pointed out that Marshall successfully completed a comprehensive, 2009 psychological evaluation: "She was able to complete it, persevere for the entire evaluation so — she also did not need redirection; although, looking at the 1F psychological evaluation, she did not need redirection, but the math section took longer than average." Doc. 8-2 at 62; see also doc. 8-2 at 60 (details of that examination); id. at 68 (ALJ noting that for that examination claimant "was in a pleasant mood, demonstrated an open, cooperative attitude, rapport was easily established and maintained over the course of the evaluation. She sustained attention for task demands, did not exhibit overly active or fidgety behavior, wasn't frustrated with prolonged mental effort, seemed adequately challenged, put forth average effort and perseverance, and she did fairly well on testing, so we have — another evaluation — or well, this was the IEP I believe. Based on school records, she has a good sense of humor, able to make small talk, didn't need redirection.").
In 2011 Dr. Winders wrote (and Marshall greatly emphasizes this): "I do not feel that [Marshall] is capable of maintaining gainful employment." Doc. 8-8 at 95. He preceded that conclusion
Marshall insists that the ALJ "cherry-picked some normal findings from the record that no medical authority has suggested are relevant while ignoring other abnormalities that are consistent with the restrictions described by the treating specialists." Doc. 10 at 16. The ALJ's opinion, as supported by the record, shows otherwise. In fact he provided multiple reasons why, in weighing the record evidence, he rejected Dr. Winders' conclusion. See e.g., doe. 8-2 at 32 ("Another psychiatric questionnaire at Exhibit 14F indicates that, despite giving [Marshall] a GAF score of 60, Dr. Winders also gave all kinds of findings[,] including psychomotor agitation, etc. and indicated the claimant had no good days. However, when comparing this questionnaire with his treatment notes, a chart note dated June 28, 2010 shows no depression, no panic, the claimant was neat, alert and cooperative, her speech was fluent and her thought process was engaged. Although she was still somewhat anxious and restless, again, Dr. Winders gave her a GAF score of 67, which is consistent with only `mild' symptoms/limitation of function according to the DSM-IV. Dr. Winders even noted that the claimant was `doing fairly well' . . .
The remainder of claimant's arguments, though peppered with "cherry-picking" and "erroneous credibility determination" phrases, doe. 10 at 20-24, in fact is simply evidence-reweighing in disguise. As mentioned, the Court cannot do that, but can only determine whether substantial evidence supports the ALJ's ruling (which is based on his weighing of the evidence before him).
Jennifer Wrene Marshall's case must be
In that regard, GAF scores "of 41 to 50 indicate serious symptoms (suicidal ideation, severe obsessional rituals, or frequent shoplifting) or any serious impairment in social, occupational, or school functioning (having no friends or being unable to keep a job). . . ." Hurst v. Colvin, 2014 WL 6603876 at *4 (S.D. Ga. Nov. 19, 2014). GAFs "of 51 to 60 indicate moderate symptoms (flat affect and circumstantial speech or occasional panic attacks) or moderate difficulty in social, occupational, or school functioning (having few friends or conflicts with peers or coworkers). See Stone v. Comm'r of Soc. Sec., No. 13-12414, 2014 WL 4784117, at *2 n. 2 (11th Cir. Sept. 26, 2014) (citing AM. PSYCHIATRIC ASS'N, DIAGNOSTIC & STATISTICAL MANUAL OF MENTAL DISORDERS 32, 34 (Text Revision 4th ed.2000))." Tapley, 2015 WL 764022 at *7.