ABDUL K. KALLON, District Judge.
Plaintiff Jennifer L. Lawley ("Plaintiff") brings this action pursuant to Section 205(g) of the Social Security Act ("the Act"), 42 U.S.C. § 405(g), seeking review of the final adverse decision of the Commissioner of the Social Security Administration. This court finds that the Administrative Law Judge's ("ALJ") decision — which has become the decision of the Commissioner — is supported by substantial evidence. Therefore, for the reasons elaborated herein, the Court will
Plaintiff filed her applications for Title II disability insurance benefits and Title XVI Supplemental Security Insurance ("SSI") on July 31, 2007, alleging a disability onset date of October 15, 2006, from "[b]i-polar/manic depressive with psychotic episodes/thyroid disease." (R. 145, 168). Plaintiff's disability report alleged also that she is unable to work because she "[c]annot function to hold a job. Severe mood swings. Cannot remember things. Blackouts. The thyroid affects whole body — infections, etc." (R. 168). After the denial of her applications on October 10, 2007, (R. 100), Plaintiff requested a hearing on December 4, 2007, (R. 116), and received one on July 8, 2009, (R. 69). At the time of the hearing, Plaintiff was 28 years old, (R. 73), had an eleventh grade education and a GED, id., and past relevant work that included light and unskilled work as a sales associate, light and low semi-skilled work in customer service, and sedentary and semi-skilled work as a telephone operator and clerical worker, (R. 90). Plaintiff has not engaged in substantial gainful activity since October 15, 2006. (R. 168).
The ALJ denied Plaintiff's claims on February 18, 2010, (R. 9), which became the final decision of the Commissioner when the Appeals Council refused to grant review on September 30, 2010, (R. 1). Plaintiff then filed this action pursuant to section 1631 of the Act, 42 U.S.C. § 1383(c)(3). Doc. 1.
The only issues before this court are whether the record contains substantial evidence to sustain the ALJ's decision, see 42 U.S.C. § 405(g); Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982), and whether the ALJ applied the correct legal standards, see Lamb v. Bowen, 847 F.2d 698, 701 (11th Cir. 1988); Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986). Title 42 U.S.C. §§ 405(g) and 1383(c) mandate that the Commissioner's "factual findings are conclusive if supported by `substantial evidence.'" Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The district court may not reconsider the facts, reevaluate the evidence, or substitute its judgment for that of the Commissioner; instead, it must review the final decision as a whole and determine if the decision is "reasonable and supported by substantial evidence." See id. (citing Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)).
Substantial evidence falls somewhere between a scintilla and a preponderance of evidence; "[i]t is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Martin, 849 F.2d at 1529 (quoting Bloodsworth, 703 F.2d at 1239) (other citations omitted). If supported by substantial evidence, the court must affirm the Commissioner's factual findings even if the preponderance of the evidence is against the Commissioner's findings. See Martin, 894 F.2d at 1529. While the court acknowledges that judicial review of the ALJ's findings is limited in scope, it notes that the review "does not yield automatic affirmance." Lamb, 847 F.2d at 701.
To qualify for disability benefits, a claimant must show "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairments which 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 twelve months." 42 U.S.C. § 423(d)(1)(A); 42 U.S.C. § 416(I). A physical or mental impairment is "an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrated by medically acceptable clinical and laboratory diagnostic techniques." 42 U.S.C. § 423(d)(3).
Determination of disability under the Act requires a five step analysis. 20 C.F.R. § 404.1520(a)-(f). Specifically, the Commissioner must determine in sequence:
McDaniel v. Bowen, 800 F.2d 1026, 1030 (11th Cir. 1986). "An affirmative answer to any of the above questions leads either to the next question, or, on steps three and five, to a finding of disability. A negative answer to any question, other than step three, leads to a determination of `not disabled.'" Id. at 1030 (citing 20 C.F.R. § 416.920(a)-(f)). "Once a finding is made that a claimant cannot return to prior work the burden shifts to the Secretary to show other work the claimant can do." Foote v. Chater, 67 F.3d 1553, 1559 (11th Cir. 1995) (citation omitted).
The court turns now to the ALJ's decision to ascertain whether Plaintiff is correct that the ALJ committed reversible error. In that respect, the court notes that, performing the five step analysis, initially, the ALJ determined that Plaintiff had not engaged in substantial gainful activity since her alleged onset date, and therefore met Step One. (R. 57). Next, the ALJ acknowledged that Plaintiff has the following "medically determinable impairments:" bipolar disorder; anxiety; depression; a history of polysubstance abuse (alcohol, marijuana, crack cocaine, opiates, and sedatives); a borderline personality disorder; hypothyroidism; and hypertension, and, as a result, met Step Two. Id. The ALJ found also that Plaintiff's "mental impairments, when considered in combination, impose a moderate restriction of her daily activities; a moderate limitation of her ability to maintain social functioning; a moderate limitation of her ability to maintain concentration, persistence, or pace; and no extended duration episodes of decompensation in work settings." Id. Having determined that Plaintiff met Step Two, the ALJ proceeded to the next step and found that Plaintiff did not satisfy Step Three since Plaintiff's
(R. 54; see also 57-58).
Although the ALJ answered Step Three in the negative, consistent with the law, see McDaniel, 800 F.2d at 1030, he proceeded to Step Four where he determined that
(R. 58). Further, the ALJ acknowledged that the Vocational Expert ("VE") testified that Plaintiff's RFC restrictions would "prevent performance of [her] past relevant work" as a light and unskilled sales associate and sedentary and semi-skilled work as a data entry clerk. (R. 55, 59). Lastly, in Step Five, the ALJ considered Plaintiff's age, education, work experience, RFC, and impairments, and determined that Plaintiff has the RFC to perform medium and light jobs, which exist in significant numbers in the national economy. (R. 59). Because the ALJ answered Step Five in the negative, the ALJ determined that Plaintiff is not disabled. (R. 60); see also McDaniel, 800 F.2d at 1030. It is this finding that Plaintiff challenges in this action.
The court turns now to Plaintiff's contentions. Specifically, Plaintiff contends that the ALJ committed reversible error because he failed to (1) state Plaintiff's date last insured ("DLI"), doc. 5 at 5, (2) determine that Plaintiff's impairments were "severe" and that Plaintiff could not return to her past work, doc. 5 at 4, 5, (3) determine when Plaintiff was not using drugs so that he could properly assess Plaintiff's vocational limitations at that time, id. at 6, (4) consider Plaintiff's impairments to determine if Plaintiff meets Listing 12.09, id. at 8, (5) properly explain his findings that substance abuse was a factor material to her disability because the ALJ improperly relied on Dr. Christopher Randolph's ("Dr. Randolph") "inadequat[e]" consulting examination, id. at 9, and (6) fully develop the record because he failed to obtain the opinion of a medical expert to "clarify the nature and extent of Plaintiff's mental and physical limitations," id. at 11. Based on its review of the record, the court disagrees with Plaintiff that the ALJ committed reversible error.
First, Plaintiff contends that the ALJ's decision is "procedurally deficient" because the ALJ failed to state Plaintiff's DLI, and cites Frazzetto v. Chater, 904 F.Supp. 1371 (M.D. Fla. 1995), a case where the ALJ mistakenly determined that the plaintiff had a DLI of December 31, 1991, and found that "evidence after this date was deemed to be irrelevant and not material." Id. at 1373. The plaintiff discovered subsequently that he had a DLI of December 31, 1992. As a result, the court remanded with instructions for the ALJ to hold a supplemental hearing to hear evidence through the actual December 31, 1992, DLI date. Id.
Unfortunately for Plaintiff, Frazzetto is distinguishable from the facts in her case because, here, the ALJ thoroughly summarized and considered Plaintiff's entire extensive medical record through August 2009.
Next, Plaintiff challenges the ALJ's application of the five-step sequential analysis. Plaintiff contends that the ALJ erred in failing to (1) determine that Plaintiff had severe impairments, and (2) expressly state that Plaintiff could not perform her past relevant work. Doc. 5 at 8-11. These contentions also lack merit.
Although the ALJ did not state specifically that Plaintiff had severe impairments at Step Two of the analysis, (R. 57), the ALJ clearly reached this conclusion since he proceeded to Step Three, (R. 57-58). Stated differently, if Plaintiff is correct that the ALJ never found that Plaintiff had severe impairments, the ALJ would have answered Step Two in the negative, and because a negative answer at Step Two of the sequential analysis leads to a determination of not disabled, McDaniel, 800 F.2d at 1030 (citing 20 C.F.R. § 416.920(a)-(f)), the ALJ would not have proceeded to Step Three. Here, though, after outlining Plaintiff's medically determinable impairments in Step Two, the ALJ continued to Step Three where he considered whether Plaintiff met a listing. Therefore, on this record, it is clear that the ALJ implicitly found that Plaintiff had severe impairments.
Plaintiff next contends that the ALJ erred by failing to find that Plaintiff could not perform her past relevant work. Doc. 5 at 6. This contention is also unfounded because the ALJ made his finding based on the VE. In particular, the ALJ found that the
(R. 55). It is clear from the ALJ's opinion that he relied in Step Four on the VE's assessment that Plaintiff could not perform her past relevant work, and then proceeded to Step Five where the ALJ assumed the burden of showing that jobs exist that Plaintiff can perform.
Contrary to Plaintiff's contention, this court finds that the ALJ properly made the required findings at each step of the five step sequential process, and, in fact, only rendered a finding of non-disabled after he answered Step Five in the negative. (R. 59). Accordingly, the court rejects Plaintiff's assertion that the ALJ improperly applied the five sequential analysis.
Lastly, Plaintiff challenges the ALJ's finding that Plaintiff's drug and alcohol abuse was a contributing factor material to the disability determination. Specifically, Plaintiff asserts that the ALJ (1) failed to determine when Plaintiff stopped abusing drugs and alcohol in assessing Plaintiff's vocational limitations, doc. 5 at 7, (2) failed to make adequate findings regarding Listing 12.09, id. at 8, (3) improperly relied on the opinion of Dr. Randolph, a consulting physician, to find a nexus between Plaintiff's drug and alcohol abuse and her suicide attempts to determine that Plaintiff did not have an impairment that would qualify as a psychological disability, id. at 9, and (4) erred by failing to request a medical expert to determine the "nature and extent of Plaintiff's mental and physical limitations," id. at 11. The court disagrees with Plaintiff that the ALJ's decision is not supported by substantial evidence.
The relevant regulation pertaining to whether drug and alcohol abuse are a contributing factor material to the disability determination states, in part:
20 C.F.R. § 404.31535(b)(1) and (2)(i) and (ii). Stated differently,
Doughty v. Apfel, 245 F.3d 1274, 1278-79 (11th Cir. 2001). Critically, when making the "materiality determination," "the claimant bears the burden of proving that his alcoholism or drug addiction is not a contributing factor material to his disability determination." Id. (citing Brown v. Apfel, 192 F.3d 492 (5th Cir. 1999); Mittlestedt v. Apfel, 204 F.3d 847 (8th Cir. 2000)).
Plaintiff contends that the ALJ erred by failing to specify what Part A medical findings he considered in Listings 12.04, 12.06, and 12.08, which made it difficult to "discern the basis of the disability" determination.
(R. 54). The ALJ's finding implies that he considered all of the Part A medical findings in Listings 12.04, 12.06, and 12.08. Because Plaintiff bears the burden of providing evidence to prove disability, i.e., citing evidence that supports her contention that she meets a listing, see 20 C.F.R. § 416.912(a) and (c), Plaintiff's attempt to discredit the ALJ's decision with bald and unsubstantiated assertions is insufficient to show that the ALJ's finding is unsupported by the record. Therefore, the court finds that the ALJ committed no reversible error.
Plaintiff challenges next the ALJ's purported reliance on Dr. Randolph's opinion. Dr. Randolph diagnosed Plaintiff with polysubstance dependence and borderline personality. (R. 650). Although the ALJ stated that Dr. Randolph "specifically noted no impairment that would qualify for psychiatric disability," the ALJ did not, however, state what weight, if any, he assigned to Dr. Randolph's opinion. (R 54). Nonetheless, because Dr. Randolph's opinion is consistent with the record as a whole, as discussed below, the ALJ did not err in considering it.
The ALJ found that Plaintiff's drug and alcohol abuse were a contributing factor material to a disability determination because Plaintiff met Listing 12.09
Plaintiff's extensive medical record begins on June 6, 2002, when HealthSouth Hospital admitted Plaintiff for "suicidal ideation, symptoms of major depression, substance abuse and dependence, and symptoms of a borderline personality disorder." (R. 237). Plaintiff was diagnosed with depressive disorder, substance dependance-specifically marijuana, borderline personality disorder, and multiple psychosocial stressors, and discharged in good condition on June 7, 2002. (R. 236).
The next medical entry occurred four years later, when Plaintiff visited the Coosa Valley Medical Center on October 21, 2006, due to an overdose of Xanax and Ambien. She denied suicidal ideation, and was discharged that same day. (R. 243). Five days later, Plaintiff received an electroencephalograph at the University of Alabama at Birmingham Hospital ("UAB") which recorded no seizure activity. (R. 263). There are no other records from 2006.
In 2007, Plaintiff sought treatment at Brookwood Medical Center ("Brookwood") three times. The first visit occurred on August 2, 2007, when, a week after "[Plaintiff] woke in the bed and [her boyfriend] had died in the night," Brookwood admitted Plaintiff due to "suicidal depression and bipolar disorder." (R. 256). The progress report noted that Plaintiff "denies illicit drug or alcohol use, but she takes Dilaudid
From approximately November 2007 through April 2008, Plaintiff resided at the Lovelady Rehabilitative Shelter. (R. 298). On April 2, 2008, she was again admitted to Brookwood for increased depression, bipolar affective disorder, and a history of polysubstance abuse. Id. Plaintiff's intake "urine drug screen was negative." Id.
The next year, on January 10, 2009, Plaintiff was admitted to St. Vincent's East after Plaintiff was found unresponsive in her car following an attempted suicide by "overdosing on Synthroid, Invega, and Klonopin."
Plaintiff was hospitalized twice in May 2009 beginning on May 15, 2009, when UAB admitted her after she reported "auditory hallucinations and suicidal ideations without plan." (R. 475). UAB discharged Plaintiff on May 18, 2009, with a notation that the amphetamines in Plaintiff's urine were "from diet pills that she has been taking that were prescribed to another person," and that Plaintiff "has been noncompliant with outpatient followup and missed her last appointment." Id. Three days later, on May 21, 2009, Plaintiff presented to UAB emergency department after she overdosed on her prescribed medications used to treat hypertension (metroprolol), and anxiety caused by alcohol withdrawal symptoms (Oxazepam). (R. 459). According to the Emergency Medicine Report, Plaintiff "denie[d] use of any other drugs, any alcohol." Id. Her urine toxicity report was "positive for benzos (Oxazepam). Alcohol was not detected." (R. 460, 457). After stabilizing Plaintiff in the intensive care unit, UAB transferred Plaintiff the next day to its Medicine Service floor where psychiatrists evaluated Plaintiff and determined that she needed inpatient psychiatric treatment because "[Plaintiff] has still been suicidal." (R. 457).
Consequently, on June 3, 2009, UAB transferred Plaintiff to its inpatient psychiatric facility, id., where Plaintiff reported that she was "stressed out about everything," and again, denied "any use of cocaine or drinking." (R. 450). The attending psychiatrist diagnosed Plaintiff with major depressive disorder and discharged Plaintiff on June 17, 2009, for transfer to Hill Crest Psychiatric Hospital ("Hill Crest") for "further elaboration of her ongoing psychological needs." (R. 452). That same day, Plaintiff received a history and psychiatric evaluation by Dr. James Barnett ("Dr. Barnett") of Hill Crest, and Plaintiff reported that she "is no longer using street drugs, but has found that she is
Based on its review of the Plaintiff's extensive medical record, the court finds that Dr. Randolph's opinion that Plaintiff suffered from polysubstance abuse dependency and borderline personality is consistent with the record as a whole. Therefore, to the extent that the ALJ relied on it, the ALJ did not commit reversible error. Moreover, although Plaintiff contends that her conditions are unrelated to alcohol and drug dependency, the medical evidence suggests otherwise. Critically, substantial evidence supports the ALJ's finding that Plaintiff has "not attempted suicide except when abusing drugs and/or alcohol." In fact, the medical evidence confirms Plaintiff's drug and alcohol abuse and her non compliance for treatment of her impairments, including when Plaintiff discharged herself against medical advice and to the care of her boyfriend. Furthermore, and more importantly, Plaintiff has not presented
Plaintiff's next contention that the ALJ did not properly consider Plaintiff's vocational limitations because he failed to determine when Plaintiff stopped abusing drugs and alcohol is also unpersuasive. Because Plaintiff's history of drug and alcohol abuse is documented virtually throughout Plaintiff's medical records, the ALJ did not err in failing to determine when Plaintiff's drug and alcohol abuse ended. Further, the ALJ was in the best position to assess Plaintiff's abilities during her period of sobriety, since she testified at her hearing on July 8, 2009, that she has not abused drugs or alcohol since April 2009, (R. 80), and sought help at a mental health center. (R. 80-89). Unfortunately, Plaintiff's testimony of sobriety is not substantiated by Dr. Barnett's June 17, 2009, evaluation entry that Plaintiff admitted she is "now" having problems with alcohol. (R. 409). Therefore, the court finds no error in the ALJ's failure to determine Plaintiff's periods of sobriety.
Finally, Plaintiff contends that the ALJ "could" have obtained a "medical expert to clarify the nature and extent of Plaintiff's mental and physician limitations" and cited the regulations to support her contention, which states that the ALJ "
Based on the foregoing, the court concludes that the ALJ's determination that Plaintiff is not disabled is supported by substantial evidence, and that the ALJ applied the proper legal standards in reaching this determination. Therefore, the Commissioner's final decision is