CHARLES S. COODY, Magistrate Judge.
On July 10, 2008, the plaintiff, Heather Honey Bouyer, protectively filed a Title II application for a period of disability and disability benefits and a title XVI application for supplemental security income. (R. 122, 140). In both applications, Bouyer alleged a disability beginning on January 29, 2008. (R. 122, 140). After the claims were initially denied, Bouyer requested and, on April 13, 2010, received a hearing before an administrative law judge ("ALJ"). (R. 36). Following the hearing, ALJ D. Burgess Stalley denied the claim on April 28, 2010. (R. 31). On March 29, 2012, the Appeals Council rejected a subsequent request for review. (R. 1). The ALJ's decision consequently became the final decision of the Commissioner of Social Security ("Commissioner").
Under 42 U.S.C. § 423(d)(1)(A) a person is entitled to disability benefits when the person is unable to
To make this determination
McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986).
The standard of review of the Commissioner's decision is a limited one. This court must find the Commissioner's decision conclusive if it is supported by substantial evidence. Graham v. Apfel, 129 F.3d 1420, 1422 (11th Cir. 1997); 42 U.S.C. § 405(g). "Substantial evidence is more than a scintilla, but less than a preponderance. It is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971). A reviewing court may not look only to those parts of the record which supports the decision of the ALJ, but instead must view the record in its entirety and take account of evidence which detracts from the evidence relied on by the ALJ. Hillsman v. Bowen, 804 F.2d 1179 (11th Cir. 1986).
Walker v. Bowen, 826 F.2d 996, 999 (11th Cir. 1987).
Bouyer was born on May 29, 1973, and was 36 years old at the time of the administrative hearing in this case. (R. 41, 140). She has a GED. (R. 158). Her past employment history includes work as a retail store manager, cashier, and receptionist. (R. 48). In January 2008, her employment as a retail manager for a movie rental store was terminated when the store closed. (R. 40-41, 181). At the hearing before the ALJ, Bouyer testified that her subsequent job search was cut short when she contracted influenza and "never got over the flu. That's when I started — that's when I found out I was sick." (R. 42). She alleges that she is disabled due to fibromyalgia syndrome, sleep apnea, and depression. (R. 42, 45).
The ALJ found that Bouyer has the following severe impairments: fibromyalgia syndrome and sleep apnea. (R. 24). The ALJ concluded that Bouyer did not suffer from depression. (R. 24, 29).
The ALJ concluded that Bouyer did not have an impairment or combination of impairments that meets or medically equals one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (R. 25). The ALJ determined that Bouyer had the residual functional capacity to perform the full range of medium work as defined in 20 CFR 404.1567(c) and 416.967(c). (R. 25). The ALJ found that Bouyer did have the residual functional capacity to perform her past relevant work, and that other jobs exist in the national economy that Bouyer is also able to perform (R. 29-30). Therefore, the ALJ concluded that Bouyer was not disabled. (R. 25).
Bouyer presents the following issues for review:
(R. 3, 4).
Bouyer argues that the ALJ erred at step two of the sequential evaluation process by failing to find that she has a "severe" impairment of depression. Bouyer argues that her depression is "severe" because, she contends, it has more than a minimal effect her ability to do basic work activities. See McDaniel v. Bowen, 800 F.2d 1026, 1031 (11th Cir. 1986) ("An impairment is not severe only if the abnormality is so slight and its effect so minimal that it would clearly not be expected to interfere with the individual's ability to work, irrespective of age, education or work experience.").
However, for a claimant's impairment to be considered severe, the claimant must first demonstrate that she suffers from the impairment. See id. at 1031 ("`If you do not have any impairment or combination of impairments which significantly limits your physical or mental ability to do basic work activities, we will find that you do not have a severe impairment and are, therefore, not disabled.'" (quoting 20 C.F.R. § 416.920(c))). A mental impairment must be established by medical evidence consisting of signs, symptoms, and laboratory findings. See 20 CFR § § 404.1508 ("Your impairment must result from anatomical, physiological, or psychological abnormalities which can be shown by medically acceptable clinical and laboratory diagnostic techniques. A physical or mental impairment must be established by medical evidence consisting of signs, symptoms, and laboratory findings, not only by your statement of symptoms"); 20 CFR§ 416.908 (same).
At step two of the analytical process, the ALJ considered the medical evidence and compared the opinion of Bouyer's treating physician, Dr. Menghani (R. 319-326; 347; 350-54), with the competing opinion of a consulting examining psychologist, Dr. Jacobs (R. 264-66). On the basis of Dr. Jacobs's opinion and analysis, the ALJ concluded that Bouyer did not have depression and that her symptoms were attributable to her severe impairments of sleep apnea and fibromyalgia. Specifically, the ALJ stated:
(R. 24).
Bouyer does not challenge the weight given by the ALJ to Dr. Jacobs's opinion, or the ALJ's conclusion, based on Dr. Jacobs's opinion, that Bouyer's symptoms are not attributable to depression. (R. 24; R. 29). Accordingly, the court concludes that substantial evidence supports the ALJ's conclusion that Bouyer does not have a mental impairment of depression. See McDaniel, 800 F.2d at 1031 ("Unless the claimant can prove, as early as step two, that she is suffering from a severe impairment, she will be denied disability benefits." (emphasis added)).
Bouyer argues that the ALJ erred by failing to analyze the severity of her depression in accordance with the psychiatric review technique set forth in 20 C.F.R. § 404.1520a for "evaluating the severity of mental impairments . . . when Part A of the listing of Impairments is used." 20 § 404.1520a (a). One of the last steps of this technique requires the ALJ to rate the claimant's degree of limitation on a four-point scale indicating the extent to which the claimant's mental impairment impacts four functional areas: "activities of daily living; social functioning; concentration, persistence, or pace; and episodes of decompensation." 20 C.F.R. § 404.1520a-(c)(3-4). Bouyer argues that the ALJ erred as a matter of law by not reaching this step of the psychiatric review technique or incorporating it into her analysis of the severity of her depression. See Moore v. Barnhart, 405 F.3d 1208, 1214 (11th Cir. 2005) ("[W]here a claimant has presented a colorable claim of mental impairment, the social security regulations require the ALJ to complete a [psychiatric review technique form] and append it to the decision, or incorporate its mode of analysis into his findings and conclusions. Failure to do so requires remand."); 20 CFR § 404.1520a(e) ("At the administrative law judge hearing and Appeals Council levels, the written decision must incorporate the pertinent findings and conclusions based on the [psychiatric review] technique.").
However, "[u]nder the special [psychiatric review] technique, [the ALJ] must first evaluate [the claimant's] pertinent symptoms, signs, and laboratory findings to determine whether [the claimant has] a medically determinable mental impairment(s)." 20 C.F.R. § 404.1520a(b)(1) (emphasis added). Only "[i]f [the ALJ] determines that [the claimant has] a medically determinable mental impairment" does the ALJ proceed to the next steps of the psychiatric review technique, including the step in which the ALJ rates the claimant's degree of limitation in four functional areas. 20 C.F.R. § 404.1520a(b)(1)-(2).
As explained in Part IV.A. of this opinion, the ALJ evaluated Bouyer's pertinent symptoms, signs, and laboratory findings, and determined that Bouyer did not have a medically determinable mental impairment of depression.
Bouyer argues that "the ALJ failed to make any specific findings regarding . . . Bouyer's pain or any other typical fibromyalgia symptoms or include any accommodating limitations in her RFC." (Doc. 12 p. 8). See See 20 C.F.R. 416.945(a)(2) ("We will consider all of your medically determinable impairments of which we are aware . . . when we assess your residual functional capacity."); Wilson v. Barnhart, 284 F.3d 1219, 1227 (11th Cir. 2002) ("[T]he ALJ must pose a hypothetical question [to the vocational expert] which comprises all of the claimant's impairments.").
Bouyer also argues that the ALJ failed to apply the required legal standard in analyzing her subjective testimony of the limiting effects of pain associated with fibromyalgia. To establish a disability based on complaints of pain and other subjective conditions, "the claimant must satisfy two parts of a three-part test showing: (1) evidence of an underlying medical condition; and (2) either (a) objective medical evidence confirming the severity of the alleged pain; or (b) that the objectively determined medical condition can reasonably be expected to give rise to the claimed pain." Wilson, 284 F.3d 1219, 1225 (11th Cir.2002); see also Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir.1991). "The claimant's subjective testimony supported by medical evidence that satisfies the standard is itself sufficient to support a finding of disability." Brown v. Sullivan, 921 F.2d 1233, 1236 (11th Cir.1991). If the ALJ decides not to credit such testimony, the ALJ "must discredit it explicitly . . . and articulate explicit and adequate reasons for doing so." Id. (citations omitted).
The problem with these arguments is that the ALJ did make specific findings regarding Bouyer's pain and other typical fibromyalgia symptoms, and the ALJ articulated specific reasons for discounting Bouyer's testimony about the extent of her functional limitations caused by pain and fibromyalgia. (R. 26 "After careful consideration of the evidence, the undersigned finds that the claimant's medically determinable impairments could reasonably be expected to cause the alleged symptoms; however, the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not credible to the extent they are inconsistent with the above residual functional capacity assessment."). Specifically, after considering the medical record, Bouyer's testimony, Bouyer's activities of daily living, and Bouyer's non-compliance with physical and occupational therapy
In evaluating the credibility of a claimant's subjective testimony of pain, the ALJ is required to consider the medical record, the claimant's testimony, the claimant's non-compliance with treatment, and evidence of the claimant's activities of daily living. See 20 CFR § 416.929 (explaining the factors considered evaluating the extent to which pain limits a claimant's capacity to work (including factors such as "objective medical evidence" and "information that [the claimant, the claimant's] treating or nontreating source, or other persons provide about [the claimant's] pain or other symptoms (e.g., what may precipitate or aggravate . . . symptoms, what medications, treatments or other methods [the claimant] use[s] to alleviate them, and how the symptoms may affect [the claimant's] pattern of daily living")); 20 C.F.R. § 404.1529 (same); Ellison v. Barnhart, 355 F.3d 1272, 1275 (holding that "`refusal to follow prescribed medical treatment without a good reason will preclude a finding of disability'" (quoting Dawkins v. Bowen, 848 F.2d 1211, 1213 (11th Cir.1988)).
Bouyer has not presented any argument calling into question the ALJ's consideration of any of these factors. Accordingly, the court concludes that the ALJ's evaluation of the credibility of Bouyer's subjective pain testimony and the limiting effects of her fibromyalgia are supported by substantial evidence and free of legal error.
For the reasons as stated, the court concludes that the decision of the Commissioner denying benefits to Bouyer should be affirmed. See Landry v. Heckler, 782 F.2d 1551, 1551-52 (11th Cir. 1986) ("Because the factual findings made by the [ALJ] . . . are supported by substantial evidence in the record and because these findings do not entitle [the claimant] to disability benefits under the appropriate legal standard, we affirm.").
The Court will enter a separate final judgment.