JAMES M. MUNLEY, District Judge.
Before the court for disposition is Magistrate Joseph F. Saporito, Jr.'s, report and recommendation ("R&R") which recommends denying Plaintiff Heather Nofsker's social security appeal. Plaintiff has objected to the R&R, and the matter is ripe for disposition.
Plaintiff protectively filed for disability insurance benefits under Title II of the Social Security Act.
On November 14, 2013, plaintiff's claims were initially denied, and she filed a request for an administrative hearing. Thus, she appeared and testified before Administrative Law Judge ("ALJ") Therese A. Hardiman on January 20, 2015 in Wilkes-Barre, PA. She was represented by counsel at the hearing and throughout the proceeding. An impartial vocation expert, ("VE"), Karen Kane, also testified at the hearing. At the time of the hearing plaintiff was 40 years of age and lived in Mahanoy City, Pennsylvania.
The ALJ denied the application for benefits in a written opinion on April 14, 2015. Plaintiff sought review of her claims by the Appeals Council. (R. at 15). The Appeals Council denied her request, thus making the ALJ's decision the final decision of the Commissioner and rendering it subject to judicial review. (R. at 1).
Plaintiff then filed the instant complaint, which is an appeal of the denial of social security benefits. (Doc. 1). The Clerk of Court assigned the case to Magistrate Judge Joseph F. Saporito, Jr. for the issuance of an R&R. On March 31, 2018, Magistrate Judge Saporito issued an R&R in which he suggests denying plaintiff's appeal. Plaintiff has filed objections to the R&R. (Doc. 23). The government has waived the opportunity to respond to the plaintiff's objections, (Doc. 24), bringing the case to its present posture.
The court has federal question jurisdiction over this Social Security Administration appeal.
In disposing of objections to a magistrate judge's report and recommendation, the district court must make a de novo determination of those portions of the report against which objections are made. 28 U.S.C. § 636(b)(1)(c);
In reviewing a Social Security appeal, the court must determine whether "substantial evidence" supports the ALJ's decision.
The court should not reverse the Commissioner's findings merely because evidence may exist to support the opposite conclusion.
To receive disability benefits, the plaintiff must demonstrate an "inability to engage in any
The Commissioner evaluates disability insurance and supplemental security income claims with a five-step sequential analysis. 20 C.F.R. §§ 404.1520(a)(4) and 416.920(a)(4). This analysis requires the Commissioner to consider, in sequence, whether a claimant (1) is engaging in substantial gainful activity,
Residual functional capacity ("RFC") is the individual's maximum remaining ability to do sustained work activities in an ordinary work setting on a regular and continuing basis.
In the instant case, at step one, the ALJ concluded that the plaintiff had not engaged in substantial gainful activity since February 24, 2012. (R. at 22). At step two of the analysis, the ALJ found that plaintiff has the following severe impairments: degenerative disc disease/degenerative joint disease of the lumbar spine, post surgery. (
The ALJ concluded that the plaintiff has the residual functional capacity to perform light work except that she: could only occasionally climb, balance, stoop, kneel, crouch and crawl, but never on ladders; must avoid vibrations and hazards including unprotected heights. (R. at 27). Based upon all of these findings, the ALJ concluded that the plaintiff is capable of performing her past relevant work as a poly bagger and a cashier. (R. at 31). Additionally, other jobs exist in the national economy that she is capable of performing, including officer helper, ticket salesperson, and information clerk. (R. at 31-32). Accordingly, the ALJ found that the plaintiff is not disabled as defined in the Social Security Act. (R. at 32).
The magistrate judge suggests that the ALJ's analysis is appropriate. The plaintiff, however, objects. She raises two issues in her objections. First, she argues that the magistrate judge's conclusion that the ALJ was justified in finding that plaintiff's obesity and mental impairments were non-severe contravenes the law. Second, plaintiff asserts that the magistrate judge erred in concluding that the ALJ was justified in rejecting the credibility of herself and her husband. We will address these issues separately.
As noted above, the ALJ found that plaintiff had several severe impairments. Plaintiff now argues that she should have also included obesity and mental impairments as severe.
Our analysis is two-fold. First we must determine whether the ailments at issue are "severe" as that term is utilized by social security law. If we find that the ailments are severe, then we must review whether the failure to deem them so was a prejudicial error. After a careful review, we find that the impairments should have been deemed severe and plaintiff may have been prejudiced by the ALJ failing to find them so.
Under social security law, a "severe impairment" significantly limits a claimant's physical or mental ability to perform basic work activities. 20 C.F.R. § 404.1520(c). Basic physical work activities include the ability to walk, stand, sit, lift, carry, push, pull, reach, climb, crawl and handle. 20 C.F.R. § 404.1545(b). An individual's basic mental or non-exertional abilities include the ability to understand, carry out and remember simple instructions, and respond appropriately to supervision, coworkers and work pressures. 20 C.F.R. § 1545(c).
The determination of whether a claimant has any severe impairment that has lasted or is expected to last for a continuous period of at least twelve (12) months, at step two of the sequential evaluation process, is a threshold test. 20 C.F.R. §§ 404.1509 and 404.1520(c). If a claimant does not have any severe impairment or combination of impairments which significantly limits her physical or mental abilities to perform basic work activities that has lasted or is expected to last for a continuous period of at least twelve (12) months, the claimant is "not disabled" and the evaluation process ends at step two.
To qualify for disability at step two, the claimant must have a severe impairment "which significantly limits [the claimant's] physical or mental ability to do basic work activities[.]" 20 C.F.R. § 404.1520(c). "The step-two inquiry is a de minimis screening device to dispose of groundless claims."
"Only those claimants with slight abnormalities that do not significantly limit any `basic work activity' can be denied benefits at step two."
In
We will discuss these impairments separately beginning with obesity.
In the instant case, the ALJ recognized that plaintiff was diagnosed with obesity, but does not find it to be a severe impairment. The record reveals that in applying for benefits, plaintiff listed her height as 5' 8" and her weight as 240 pounds. (R. at 208). Her doctors had told her that her weight was not good for her diabetes . (R. at 67). Further, they suggested losing weight would help ease her pain. (R. at 68). Additionally, plaintiff's cardiologist indicated that plaintiff's symptoms including shortness of breath, inability to walk across the room or up a flight of stairs, daytime fatigue were not caused by a cardiac condition, but were due, at least in part, to her weight gain. (R. at 759, 764, 766).
In light of the slight burden placed on a social security claimant in establishing a severe impairment and that fact that the plaintiff's obesity causes these difficulties in daily living and affects her other impairments, we find that the ALJ erred in finding that obesity was not a severe impairment.
Plaintiff also suffers from depression. The ALJ concluded that plaintiff's depression is not a severe impairment. Plaintiff argues that this is an error. The magistrate judge found that the ALJ's decision was supported by substantial evidence, but in so doing, according to the plaintiff, he excuses the ALJ's failure to consider a large body of evidence from plaintiff's treating psychiatrist and therapist.
The law provides that "[a] single piece of evidence will not satisfy the substantiality test if the Commissioner ignores, or fails to resolve, a conflict created by countervailing evidence. Nor is evidence substantial if it is overwhelmed by other evidence . . . or if it really constitutes not evidence but mere conclusion."
Plaintiff has been diagnosed with Major Depressive Disorder, Recurrent, Moderate, Dysthymic Disorder and Anxiety Disorder. (R. at 413). She began treatment at ReDCo Mental Health Center in August 2012, where she complained of mood swings, depression and persistent fatigue. (R. at 412-13). She has been under a therapist's care for anger, paranoia, mood swings and anxiety. (R. at 390-403). She has also been prescribed various medicines for pain, depression and mood swings. (R. at 831, 560). The evidence in support of her mental health claim overwhelms the evidence the ALJ reviewed such as Global Assessment of Function ("GAF")
The R&R notes that an ALJ's failure to find a condition severe does not render a decision deficient if the ALJ finds another condition severe and the other condition is considered in formulating the RFC.
Plaintiff also complains that the ALJ improperly weighed her credibility and her husband's credibility. The ALJ should reexamine this testimony, and any new testimony that she may hear, in the light of our ruling above, and set forth sufficient reasoning for whatever level of credibility she provides to the testimony.
For the aforementioned reasons, we will remand this case to the Commissioner. The Commissioner is directed to examine, what if any, changes should be made to plaintiff's disability determination based upon her having severe obesity and severe mental impairments as discussed above. An appropriate order follows.
Moreover, the latest edition of the DSM recommends that the GAF scoring scale be discontinued. It explained that the GAF scale has a conceptual lack of clarity and "questionable psychometrics in routine practice." DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (FIFTH) at 16. Thus, the latest edition of the American Psychiatric Association's DSM does not contain the GAF scale. It is apparent that GAF scores are of limited value in determining whether an individual is disabled.