PHILIP A. BRIMMER, District Judge.
This matter comes before the Court on plaintiff Christy R. Gorringe's complaint [Docket No. 1], filed on May 2, 2011. Plaintiff seeks review of the final decision of defendant Michael J. Astrue (the "Commissioner") denying plaintiff's claim for disability insurance benefits and supplemental security income under Titles II and XVI of the Social Security Act (the "Act"), 42 U.S.C. §§ 401-33 and 1381-83c.
On September 10, 2008, plaintiff applied for disability benefits, alleging that she had been disabled since April 30, 2006. After an initial administrative denial of plaintiff's application, an administrative law judge ("ALJ") held a hearing on January 28, 2010. In a decision dated February 26, 2010, the ALJ denied plaintiff's claim.
The ALJ determined that plaintiff had the "following severe impairments: cognitive disorder NOS secondary to a remote history (1996) of aneurysm and craniotomy, major depression, and post traumatic stress disorder[.]" R. at 12. The ALJ concluded that these impairments, alone or in combination, did not meet one of the regulations' listed impairments, R. at 13, and ruled that plaintiff retained the residual functional capacity ("RFC") to
R. at 14. Based upon this RFC and in reliance on the testimony of a vocational expert ("VE"), the ALJ concluded that "claimant is capable of performing past relevant work as a receptionist." R. at 18. Therefore, the ALJ determined that plaintiff was not disabled. See R. at 18-19.
The Appeals Council denied plaintiff's request for review of this denial. See R. at 1. Consequently, the ALJ's decision is the final decision of the Commissioner.
Review of the Commissioner's finding that a claimant is not disabled is limited to determining whether the Commissioner applied the correct legal standards and whether the decision is supported by substantial evidence in the record as a whole. See Angel v. Barnhart, 329 F.3d 1208, 1209 (10th Cir.2003). The district court may not reverse an ALJ simply because the court may have reached a different result based on the record; the question instead is whether there is substantial evidence showing that the ALJ was justified in her decision. See Ellison v. Sullivan, 929 F.2d 534, 536 (10th Cir.1990). "Substantial evidence is more than a mere scintilla and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Flaherty v. Astrue, 515 F.3d 1067, 1070 (10th Cir.2007). Moreover, "[e]vidence is not substantial if it is overwhelmed by other evidence in the record or constitutes mere conclusion." Musgrave v. Sullivan, 966 F.2d 1371, 1374 (10th Cir.1992). The district court will not "reweigh the evidence or retry the case," but must "meticulously examine the record as a whole, including anything that may undercut or detract from the ALJ's findings in order to determine if the substantiality test has been met." Flaherty, 515 F.3d at 1070. Nevertheless, "if the ALJ failed to apply the correct legal test, there is a ground for reversal apart from a lack of substantial evidence." Thompson v. Sullivan, 987 F.2d 1482, 1487 (10th Cir. 1993).
To qualify for disability benefits, a claimant must have a medically determinable physical or mental impairment expected to result in death or last for a continuous period of twelve months that prevents the claimant from performing any substantial gainful work that exists in the national economy. 42 U.S.C. § 423(d)(1)-(2). Furthermore,
42 U.S.C. § 423(d)(2)(A) (2006). The Commissioner has established a five-step sequential evaluation process to determine whether a claimant is disabled. 20 C.F.R. § 404.1520; Williams v. Bowen, 844 F.2d 748, 750 (10th Cir.1988). The steps of the evaluation are:
Trimiar v. Sullivan, 966 F.2d 1326, 1329 (10th Cir.1992) (citing 20 C.F.R. § 404.1520(b)-(f)). A finding that the claimant is disabled or not disabled at any point in the five-step review is conclusive and terminates the analysis. Casias v. Sec'y of Health and Human Servs., 933 F.2d 799, 801 (10th Cir.1991).
The claimant has the initial burden of establishing a case of disability. However, "[i]f the claimant is not considered disabled
Plaintiff argues that the ALJ failed to adequately weigh the various medical and non-medical opinions in the record, resulting at step four of the analysis in an RFC not supported by substantial evidence. Furthermore, plaintiff contends that the ALJ inadequately explained his conclusion that her RFC was consistent with the requirements of her past relevant work as a receptionist.
In concluding that plaintiff was not disabled, the ALJ gave the "[g]reatest weight" to the opinion of the state agency psychologist who reviewed plaintiff's medical records and completed a Mental Residual Functional Capacity Assessment form. R. at 17. The ALJ, however, failed to provide any explanation for giving this non-treating source opinion the "greatest weight" other than to state that it was "consistent with the record as a whole" and was "not inconsistent" with the opinion of Mack Green, Ed.D., who conducted a comprehensive neuropsychological evaluation of plaintiff. R. at 17. Furthermore, the ALJ, again without explanation, relied only upon one summary conclusion stated in the state agency examiner's opinion, namely, that plaintiff has the "mental ability to understand and carry out simple to semi-skilled tasks on a sustained basis." R. at 17. The ALJ, however, did not address the state agency examiner's conclusions that plaintiff would be moderately limited in her "ability to understand and remember detailed instructions", "to carry out detailed instructions," "to maintain attention and concentration for extended periods," and "to complete a normal workday and workweek without interruptions from psychologically based symptoms and to perform at a consistent pace without an unreasonable number and length of rest periods." R. at 290-91. An ALJ may not "`pick and choose among medical reports, using portions of evidence favorable to his position while ignoring other evidence.'" Carpenter v. Astrue, 537 F.3d 1264, 1265 (10th Cir.2008) (quoting Hardman v. Barnhart, 362 F.3d 676, 681 (10th Cir. 2004)). The Court cannot assess whether these unaddressed conclusions are consistent with the summary opinion that plaintiff can engage in "simple to semi-skilled tasks on a sustained basis," R. at 17, in light of the ALJ's failure to articulate why the state agency examiner's ultimate opinion was consistent with the examiner's conclusions regarding plaintiff's limitations. See 20 C.F.R. § 416.927(e)(2)(ii) ("Unless a
Citing its Program Operations Manual System ("POMS"), defendant contends that, because of the limitations noted by the examiner appear in Section I of the form, they are not meant to convey an opinion regarding plaintiff's mental RFC. See Docket No. 14 at 15. Assuming that is true, the ALJ still failed to explain how the moderate limitations, particularly that plaintiff would be moderately limited in her ability to maintain concentration and pace for extended periods and complete a normal work schedule, were consistent with the examiner's ultimate opinion, which POMS itself requires. See POMS DI 24510.065, Section III of SSA-4734-F4-SUP — Functional Capacity Assessment, available at https://secure.ssa.gov/ apps10/poms.nsf/lnx/0424510065; see also Baysinger v. Astrue, No. 11-cv-00333-WYD, 2012 WL 1044746, at *6 (D.Colo. March 28, 2012) ("[T]he state agency provider's failure to include the moderate limitations in section III or at least to ensure that they are represented in some manner in that section is ... contrary to the POMS. The POMS requires the state medical consultant prepare in section III a narrative statement for each of the subsections in Sections I and II. In doing so, the consultant is required to address each of the four mental categories (Understanding and Memory, Concentration and Persistence, Social Interaction, and Adaptation) and provide a narrative discussion of the individual's capacities and limitations as to same ....") (citations omitted).
In any event, the Commissioner's description of the form is inconsistent with how it is described on its face. Section I of the form is entitled "Summary Conclusions" and instructs those completing the form to "record[] summary conclusions derived from the evidence in file" and that "[e]ach mental activity is to be evaluated within the context of the individual's capacity to sustain that activity over a normal workday and workweek, on an ongoing basis." R. at 290. Section III allows for, inter alia, "[d]etailed explanation of the degree of limitation for each category," R. at 290, and "elaborations" on the conclusions reached in Section I.R. at 292.
The ALJ's conclusion that the state agency examiner's opinion is not inconsistent with that of Dr. Green, an opinion the ALJ afforded "[g]reat weight," R. at 17, sheds no additional light on his basis for relying so heavily on the summary statement in the examiner's opinion. Dr. Green appears to have shared the state agency examiner's opinion that plaintiff would have difficulty maintaining concentration and pace, see R. at 382 ("If placed in settings that required fast-paced processing of information and active decision making, she is apt to become easily overwhelmed."). Dr. Green further found that plaintiff would have difficulty processing detailed information. See id. ("If information is presented to her in too great of detail, she is apt to quickly feel overwhelmed."). Moreover, Dr. Green stated that plaintiff's ability to organize, sequence, and recall information was impaired. For instance, Dr. Green stated that plaintiff "demonstrated marked difficulty when confronted with problems of a more abstract nature" and "difficulty when confronted with problem solving tasks that required visual sequencing and flexibility." R. at 381. Dr. Green further stated that plaintiff "may display difficulty on auditory memory tasks that required her to more actively organize material for recall" and that her "[a]ttention/concentration abilities are compromised and are likely easily exacerbated by poor frustration tolerance." R. at 382. How such limitations are consistent with the RFC is left largely unexplained. The ALJ's decision implies that plaintiff would not necessarily be able to deal with the "particular stress and pressures the claimant experienced" in her past position as a receptionist, but that such "stress and pressures" are "not reflective of the job of receptionist as normally performed in the economy, according to the [Dictionary of Occupational Titles]." R. at 18. The ALJ, however, does not provide any explanation or citation in support of this characterization of the position and the Court has not identified any aspect of the VE's testimony that would support such a conclusion. See R. at 63-66. Rather, the VE's testimony appears to contradict that aspect of the ALJ's opinion. See R. at 66 (where VE does not distinguish plaintiff's actual duties as a receptionist from the "generic receptionist position" described in the DOT).
These failures to adequately explain and support the conclusion at step four require that this case be remanded for additional proceedings. The Court, therefore, will not address the ALJ's assessment of other medical opinions in the record, because the ALJ's analysis on remand may impact how these other opinions in the record are viewed. See Watkins v. Barnhart, 350 F.3d 1297, 1299 (10th Cir.2003) ("We will not reach the remaining issues raised by appellant because they may be affected by the ALJ's treatment of this case on remand."); see also Daniell v. Astrue, 384 Fed.Appx. 798, 804 (10th Cir.2010). The Court, however, will add that the ALJ, when assessing the opinions of "other sources" on remand, is not free to reject them solely because of a failure to comply with the Federal Rules of Evidence, see R. at 17 ("All opinions and inferences in these exhibits that exceed the provisions of [Fed. R. Evid.] 701 are rejected."), which do not apply in these administrative proceedings. See 42 U.S.C. § 405(b)(1) ("Evidence may be received at any hearing before the
For the foregoing reasons, it is