GREG WHITE, Magistrate Judge.
Plaintiff Dennis Frampton ("Frampton") challenges the final decision of the Acting Commissioner of Social Security, Carolyn W. Colvin ("Commissioner"), denying his claim for a Period of Disability ("POD") and Disability Insurance Benefits ("DIB") under Title II of the Social Security Act ("Act"), 42 U.S.C. §§ 416(i), 423 et seq. This matter is before the Court pursuant to 42 U.S.C. § 405(g) and Local Rule 72.2(b).
For the reasons set forth below, it is recommended that the final decision of the Commissioner be AFFIRMED.
On March 9, 2012, an Administrative Law Judge ("ALJ") held a hearing during which Frampton, represented by counsel, and an impartial vocational expert ("VE") testified. (Tr. 10.) On July 5, 2012, the ALJ found Frampton was able to perform a significant number of jobs in the national economy and, therefore, was not disabled. (Tr. 23-24.) The ALJ's decision became final when the Appeals Council denied further review.
Age fifty-two (52) on his date last insured, Frampton was a "person closely approaching advanced age" under social security regulations. See 20 C.F.R. § 404.1563(d). Frampton has at least a high school education and past relevant work as a truck driver, building supply clerk, and warehouse worker. (Tr. 22-23.)
In order to establish entitlement to DIB under the Act, a claimant must be insured at the time of disability and must prove an inability to engage "in substantial gainful activity by reason of any medically determinable physical or mental impairment," or combination of impairments, that 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." 20 C.F.R. §§ 404.130, 404.315 and 404.1505(a).
A claimant is entitled to a POD only if: (1) he had a disability; (2) he was insured when he became disabled; and (3) he filed while he was disabled or within twelve months of the date the disability ended. 42 U.S.C. § 416(i)(2)(E); 20 C.F.R. § 404.320.
Frampton was insured on his alleged disability onset date, October 9, 2009 and remained insured through December 31, 2011. (Tr. 13.) Therefore, in order to be entitled to POD and DIB, Frampton must establish a continuous twelve month period of disability commencing between these dates. Any discontinuity in the twelve month period precludes an entitlement to benefits. See Mullis v. Bowen, 861 F.2d 991, 994 (6
The ALJ found Frampton established medically determinable, severe impairments due to degenerative disc disease in the cervical and lumbar spine, degenerative changes in the right acromioclavicular joint, post traumatic stress syndrome, depressive disorder, and chronic pain syndrome. (Tr. 13.) However, his impairments, either singularly or in combination, did not meet or equal one listed in 20 C.F.R. Pt. 404, Subpt. P, App. 1. Id. Frampton was found incapable of performing his past relevant work, but was determined to have a Residual Functional Capacity ("RFC") for a limited range of light work. (Tr. 15, 22.) The ALJ then used the Medical Vocational Guidelines ("the grid") as a framework and VE testimony to determine that Frampton was not disabled. (Tr. 22-23.)
This Court's review is limited to determining whether there is substantial evidence in the record to support the ALJ's findings of fact and whether the correct legal standards were applied. See Elam v. Comm'r of Soc. Sec., 348 F.3d 124, 125 (6
The findings of the Commissioner are not subject to reversal merely because there exists in the record substantial evidence to support a different conclusion. Buxton v. Halter, 246 F.3d 762, 772-3 (6
In addition to considering whether the Commissioner's decision was supported by substantial evidence, the Court must determine whether proper legal standards were applied. Failure of the Commissioner to apply the correct legal standards as promulgated by the regulations is grounds for reversal. See, e.g.,White v. Comm'r of Soc. Sec., 572 F.3d 272, 281 (6
Finally, a district court cannot uphold an ALJ's decision, even if there "is enough evidence in the record to support the decision, [where] the reasons given by the trier of fact do not build an accurate and logical bridge between the evidence and the result." Fleischer v. Astrue, 774 F.Supp.2d 875, 877 (N.D. Ohio 2011) (quoting Sarchet v. Chater, 78 F.3d 305, 307 (7th Cir.1996); accord Shrader v. Astrue, 2012 WL 5383120 (E.D. Mich. Nov. 1, 2012) ("If relevant evidence is not mentioned, the Court cannot determine if it was discounted or merely overlooked."); McHugh v. Astrue, 2011 WL 6130824 (S.D. Ohio Nov. 15, 2011); Gilliam v. Astrue, 2010 WL 2837260 (E.D. Tenn. July 19, 2010); Hook v. Astrue, 2010 WL 2929562 (N.D. Ohio July 9, 2010).
In his sole assignment of error, Frampton contends that the ALJ erred in determining that he does not meet or medically equal Listing 12.04(C). (ECF No. 11 at 10-18.)
"For a claimant to show that his impairment matches a listing, it must meet all of the specified medical criteria. An impairment that manifests only some of those criteria, no matter how severely, does not qualify." Sullivan v. Zebley, 493 U.S. 521, 530, 110 S.Ct. 885, 107 L. Ed. 2d 967 (1990) (emphasis in original); Foster v. Halter, 279 F.3d 348, 354 (6
Listing 12.04 "Affective Disorders," states as follows:
20 C.F.R. pt. 404, subpt. P, App'x 1 (emphasis added).
According to 12.00(C)(4), episodes of decompensation "are exacerbations or temporary increases in symptoms or signs accompanied by a loss of adaptive functioning, as manifested by difficulties in performing activities of daily living, maintaining social relationships, or maintaining concentration, persistence, or pace." The Listing further explains that such episodes may be demonstrated by "an exacerbation in symptoms or signs that would ordinarily require increased treatment or a less stressful situation (or a combination of the two.)" Id.
The ALJ in the case at bar determined that Frampton's severe impairments included depressive disorder and post traumatic stress disorder (Tr. 13), but ultimately found that "[t]he severity of the claimant's mental impairments, considered singly and in combination, did not meet or medically equal the criteria of listings 12.04 and 12.06." (Tr. 14.) Frampton asserts that he satisfied the "A" criteria of Listing 12.04, but concedes that whether he meets the "B" criteria of the listing "may be at issue." (ECF No. 11 at 13.) To meet Listing 12.04, a claimant must satisfy both the "A" and "B" criteria OR the "C" criteria. As Frampton has focused exclusively on the "C" criteria in his argument, the Court purposely omits any discussion of whether the ALJ's finding with respect to the "A" and "B" criteria was supported by substantial evidence. With respect to the "C" criteria, the decisions states as follows:
(Tr. 15.)
The ALJ also found that there were no episodes of decompensation. (Tr. 14.) Frampton does not point to any evidence of repeated episodes of decompensation of extended duration, nor does he suggest that he had a current history of one or more years of an inability to function outside a highly supportive living arrangement. (ECF No. 11.) As such, Frampton appears to confine his argument to alleging that the criteria of Listing 12.04(C)(2) was satisfied. (ECF No. 11 at 17.) The question, therefore, is whether substantial evidence in the record supports the ALJ's finding that the criteria of "C(2)" was not met.
As pointed out by the Commissioner in her brief, the ALJ's finding is supported by the opinions of two State Agency psychologists, Todd Finnerty, Psy. D. and Tonnie Hoyle, Psy. D. Both opinions were expressly relied upon by the ALJ in his Step Three determination. (ECF No. 13 at 13, Tr. 14-15.) On March 9, 2011, Dr. Finnerty opined that the evidence does not establish the presence of the "C" criteria. (Tr. 110.) On August 24, 2011, Dr. Hoyle likewise opined that the evidence does not establish the presence of the "C" criteria. (Tr. 128.) Pursuant to Social Security Ruling ("SSR") 96-6p, 1996 WL 374180 (July 2, 1996), "[f]indings of fact made by State agency medical and psychological consultants and other program physicians and psychologists regarding the nature and severity of an individual's impairment(s) must be treated as expert opinion evidence of nonexamining sources at the administrative law judge and Appeals Council levels of administrative review." Furthermore, while ALJs are not bound by such opinions, "[i]n appropriate circumstances, opinions from State agency medical and psychological consultants and other program physicians and psychologists may be entitled to greater weight than the opinions of treating or examining sources." Id.; see also McGrew v. Comm'r of Soc. Sec., 343 Fed. App'x 26, 32 (6
Frampton argues that "[t]he question is whether there is other evidence in the record that supports a finding that a minimal increase in stress would cause Mr. Frampton's emotional condition to decompensate?" (ECF No. 11 at 14.) Frampton misconstrues the substantial evidence standard:
McClanahan v. Comm'r of Soc. Sec., 474 F.3d 830, 833 (6
Because the Commissioner has a zone of choice, Frampton cannot establish legal error merely by pointing to evidence that he believes could have resulted in a different outcome. Here, Frampton simply points to evidence that he subjectively interprets as satisfying the criteria of Listing 12.04(C)(2). Evidence of a "residual disease process that has resulted in such marginal adjustment that even a minimal increase in mental demands or change in the environment would be predicted to cause the individual to decompensate" is required.
Frampton's first point is puzzling. He argues that the RFC finding itself is evidence he would decompensate in a work setting because, in relevant part, it limits him to simple, routine, repetitive tasks not performed in a fast-paced environment with no more than occasional contact with the general public, coworkers, or supervisors. (ECF No. 11 at 14.) Frampton, however, cites no supporting law or regulation. Such limitations are not uncommon in cases where a claimant suffers from mental impairments. Absent any binding authority, this Court declines to find that an individual with such restrictions per se satisfies the requirements of Listing 12.04(C)(2).
Frampton also cites the opinion of clinical psychologist Richard C. Halas wherein the latter opines that Frampton's psychological and emotional problems are likely to become exacerbated in a normal work setting. (ECF No. 11 at 14.) It is unclear why Frampton believes this is evidence that he would decompensate in a work setting. Notably, Frampton omits that, in the very same paragraph, Mr. Halas opined Frampton was only moderately impaired in his ability to withstand the stresses and pressures associated with most day-to-day work. (Tr. 287.) Furthermore, as expressly noted by the ALJ, this opinion precedes the alleged onset date by over a year. (Tr. 20.) Nonetheless, the ALJ found the opinion was consistent with the evidence as a whole.
Frampton also cites statements from independent psychological/psychiatric examiners Donald J. Tosi, Ph. D., Richard J. Duval Ph. D., and Robert T. Seagraves, M.D.; a treatment note by Farid Talih, M.D., from what appears to be Frampton's first visit with him; and treatment notes from treating psychologist Thomas Cassady, Ph. D. (ECF No. 11.) Frampton's brief points to the following:
(ECF No. 11 at 15-16.)
The Court fails to see how any of the above inherently conflicts with the ALJ's finding that the evidence fails to establish the criteria for Listing 12.04C(2). While there is evidence of mental impairments, impairments which the ALJ found to be "severe" at Step Two, it is unclear how any of these statements can be construed as establishing that Frampton suffers from a "residual disease process that has resulted in such marginal adjustment that even a minimal increase in mental demands or change in the environment would be predicted to cause the individual to decompensate." Though another ALJ might have concluded differently, none of the evidence cited plainly suggests that decompensation is likely if Frampton were subjected to a change in his environment. Though the stress and pressures of day to day work might arguably exacerbate Frampton's symptoms, decompensation, as defined in the regulations, also requires that such an increase be "accompanied by a loss of adaptive functioning, as manifested by difficulties in performing activities of daily living, maintaining social relationships, or maintaining concentration, persistence, or pace." 12.00(C)(4).
Essentially, Frampton is asking that the ALJ's reasonable interpretation of the evidence of record be disregarded and replaced with this Court's own interpretation that is in line with a finding of disability. That is not this Court's function. While this Court reviews the entire administrative record, it "does not reconsider facts, re-weigh the evidence, resolve conflicts in evidence, decide questions of credibility, or substitute its judgment for that of the ALJ." Reynolds v. Comm'r of Soc. Sec., 424 Fed. Appx. 411, 2011 WL 1228165 at * 2 (6
Frampton also points to two Global Assessment of Functioning scores of 50. (ECF No. 11 at 17, citing Tr. 810, 861.) The first is from Farid Talih, M.D., dated April 13, 2011 and the second from an independent medical evaluation dated January 11, 2012. Id. It bears noting that the opinion of Mr. Halas referenced above contains a GAF score of 55. (Tr. 287.) The GAF scale reports a clinician's assessment of an individual's overall level of functioning. Diagnostic & Statistical Manual of Mental Disorders, 32-34 (American Psychiatric Association, 4th ed revised, 2000) ("DSM-IV"). An individual's GAF is rated between 0-100, with lower numbers indicating more severe mental impairments. A GAF score between 41 and 50 indicates serious symptoms or a serious impairment in social, occupational, or school functioning. A person who scores in this range may have suicidal ideation, severe obsessional rituals, no friends, and may be unable to keep a job. See DSM-IV at 34. Meanwhile, a GAF score between 51 and 60 indicates moderate symptoms or moderate difficulty in social, occupational, or school functioning. See DSM-IV at 34.
Frampton fails to explain how his GAF scores, even if credited, conflict with the ALJ's determination that he failed to satisfy the criteria of Listing 12.04(C)(2). Frampton's GAF scores were on the border of moderate to severe. It is unclear how such symptoms are demonstrative of predicted decompensation. Moreover, the Sixth Circuit Court of Appeals has explained that a "GAF score is not particularly helpful by itself" explaining that it is a "a subjective determination that represents the clinician's judgment of the individual's overall level of functioning." Oliver v. Comm'r of Soc. Sec., 415 Fed. App'x. 681, 684 (6
Finally, the Court notes that the issue of whether a claimant meets or equals a listing and whether a claimant retains the residual functional capacity (RFC) to perform work are two separate issues. "[T]he listings were designed to operate as a presumption of disability that makes further inquiry unnecessary. That is, if an adult is not actually working and his impairment matches or is equivalent to a listed impairment, he is presumed unable to work and is awarded benefits without a determination whether he actually can perform his own prior work or other work." Sullivan, 493 U.S. at 532. Frampton's brief focuses exclusively on the Step Three determination, and he has not clearly raised and developed any arguments alleging that the ALJ's decision was defective at any of the later steps in the sequential process. As such, while Frampton takes issue with the ALJ's rejection of Thomas Cassady, Ph.D.'s opinion that Frampton has been unable to work since September of 2008, the issue of whether Frampton meets the criteria of Listing 12.04(C) is separate and distinct from the issue of whether Frampton retains the RFC to engage in work. Furthermore, it is not this Court's function to develop additional arguments on a plaintiff's behalf. See McPherson v. Kelsey, 125 F.3d 989, 995-96 (6
For the foregoing reasons, the Court finds the decision of the Commissioner supported by substantial evidence. Accordingly, the decision should be AFFIRMED and judgment entered in favor of the defendant.