ERIN L. SETSER, Magistrate Judge.
Plaintiff, David L. Laningham, brings this action pursuant to 42 U.S.C. § 405(g), seeking judicial review of a decision of the Commissioner of the Social Security Administration (Commissioner) denying his claim for a period of disability and disability insurance benefits (DIB) under the provisions of Title II of the Social Security Act (Act). In this judicial review, the Court must determine whether there is substantial evidence in the administrative record to support the Commissioner's decision.
Plaintiff filed his current application for DIB on April 12, 2010, alleging an inability to work since September 15, 2009, due to depression, bipolar disease, heart condition, and agoraphobia. (Tr. 100-101, 114, 123). An administrative hearing was held on December 2, 2011, at which Plaintiff appeared with counsel and testified. (Tr. 29-54).
By written decision dated February 22, 2012, the ALJ found that Plaintiff had an impairment or combination of impairments that were severe — atrial fibrillation status post ablation, morbid obesity, sleep apnea, and bipolar disorder. (Tr. 16). However, after reviewing all of the evidence presented, the ALJ determined that Plaintiff's impairments did not meet or equal the level of severity of any impairment listed in the Listing of Impairments found in Appendix I, Subpart P, Regulation No. 4. (Tr. 16). The ALJ found Plaintiff retained the residual functional capacity (RFC) to:
(Tr. 18). With the help of the vocational expert (VE), the ALJ determined that Plaintiff was unable to perform his past relevant work, but there were jobs Plaintiff would be able to perform, such as bench hand and machine feeder. (Tr. 22).
Plaintiff then requested a review of the hearing decision by the Appeals Council, which considered additional evidence and denied that request on February 6, 2013. (Tr. 1-8). Subsequently, Plaintiff filed this action. (Doc. 1). This case is before the undersigned pursuant to the consent of the parties. (Doc. 7). Both parties have filed appeal briefs, and the case is now ready for decision. (Docs. 13, 14).
The Court has reviewed the entire transcript. The complete set of facts and arguments are presented in the parties' briefs, and are repeated here only to the extent necessary.
This Court's role is to determine whether the Commissioner's findings are supported by substantial evidence on the record as a whole.
It is well established that a claimant for Social Security disability benefits has the burden of proving his disability by establishing a physical or mental disability that has lasted at least one year and that prevents him from engaging in any substantial gainful activity.
The Commissioner's regulations require him to apply a five-step sequential evaluation process to each claim for disability benefits: (1) whether the claimant had engaged in substantial gainful activity since filing his claim; (2) whether the claimant had a severe physical and/or mental impairment or combination of impairments; (3) whether the impairment(s) met or equaled an impairment in the listings; (4) whether the impairment(s) prevented the claimant from doing past relevant work; and (5) whether the claimant was able to perform other work in the national economy given his age, education, and experience.
Plaintiff raises the following issues on appeal: 1) The ALJ erred in failing to fully and fairly develop the record; 2) The ALJ erred at steps two and three; 3) The ALJ erred in failing to evaluate the claim under SSR 00-3P evaluation of obesity; and 4) The ALJ erred in his RFC determination.
Plaintiff argues that because the ALJ rejected Ms.Valerie McFarland's opinion, as she was not a medically acceptable source, he should have requested clarification from the VA Mental Health Clinic's psychiatrist, Dr. Thomas Reneghan, if he was unsatisfied with counselor McFarland's RFC treating source opinion.
The ALJ has a duty to fully and fairly develop the record.
The ALJ had before him the medical records of the VA mental health providers, the Mental Evaluation of Terry L. Efird, Ph.D., performed on June 1, 2010, the Psychiatric Review Technique Form and Mental RFC Assessment completed by non-examining consultant, Dr. Kay Cogbill, the Case Analysis of non-examining consultant, Sheri L. Simon, Ph.D., dated September 20, 2010, and the Mental RFC Assessment, Short Form, completed by Valerie McFarland, MSW, LCSW, dated November 30, 2011. The ALJ considered counselor McFarland's records as well as her Mental RFC Assessment. (Tr. 20-21). He noted that in her assessment form, Ms. McFarland diagnosed Plaintiff with PTSD, moderate, and bipolar with depressive features, and indicated that Plaintiff had poor ability or was markedly limited in several areas. (Tr. 21). Notably, the form required a M.D./Ph.D. co-signature, and the ALJ pointed out that there was no physician's signature on the form. (Tr. 21). In addition, none of the other physicians indicated that Plaintiff was markedly limited, or had poor ability regarding his mental impairments. It is clear that the ALJ considered Ms. McFarland's opinion, but found the remaining medical evidence to be more persuasive, especially in light of the fact that Ms. McFarland was a non-medical source.
The Court finds that the ALJ did not fail to fully and fairly develop the record, as the existing evidence was adequate for the ALJ to make a determination regarding Plaintiff's mental impairments.
Plaintiff argues that the ALJ should have included a written analysis rejecting his alleged PTSD or anxiety-related disorder with agoraphobia as a severe impairment.
An impairment is severe within the meaning of the regulations if it significantly limits an individual's ability to perform basic work activities. 20 C.F.R. §§ 1520(a)(4)ii), 416.920(a)(4)(ii). An impairment or combination of impairments is not severe when medical and other evidence establish only a slight abnormality or a combination of slight abnormalities that would have no more than a minimal effect on an individual's ability to work. 20 C.F.R. § § 404.1521, 416.921. The Supreme Court has adopted a "de minimis standard" with regard to the severity standard.
It is noteworthy that Plaintiff did not allege PTSD in his Undated Disability Report-Adult. (Tr. 114).
With respect to Plaintiff's sleep apnea, Plaintiff argues that since the ALJ determined this impairment to be a severe impairment at Step Two, he should have reviewed the applicable listing (Listing 3.10) at Step Three as required by the sequential evaluation. However, Plaintiff provides no support for his position that Plaintiff's sleep apnea met Listing 3.10, but makes the conclusory assertion that Plaintiff's sleep apnea met said listing . Therefore, the Court will not address this argument further.
Based upon the foregoing, as well as those reasons given in Defendant's well-stated brief, the Court finds there is substantial evidence to support the ALJ's findings regarding Step 2 and Step 3 of the evaluation.
Plaintiff argues that the ALJ did not consider his obesity at all stages of the sequential evaluation, including not determining that Plaintiff's obesity limited his physical ability to do basic work activities. In his opinion, the ALJ specifically addressed Plaintiff's obesity, stating that is it now evaluated under the criteria set down in SSR 02-1p. The ALJ continued:
(Tr. 17). Clearly, the ALJ considered the impact of Plaintiff's obesity in arriving at his residual functional capacity. In addition, although the non-examining state agency consultants opined that Plaintiff would be able to perform light work, the ALJ found that sedentary work appeared more reasonable "in light of the claimant's combined conditions." (Tr. 22). The ALJ also took note of Plaintiff's daily activities, as well as the fact that he attended school full time. (Tr. 22).
Based upon the foregoing, the Court finds there is substantial evidence to support the fact that the ALJ considered Plaintiff's obesity in determining his RFC.
Plaintiff argues that the ALJ's finding that Plaintiff could engage in sedentary work was not supported by the medical evidence or the testimony.
RFC is the most a person can do despite that person's limitations. 20 C.F.R. § 404.1545(a)(1). It is assessed using all relevant evidence in the record.
In this case, the ALJ considered all of the medical records and gave some weight to the State agency medical consultant's opinion, which shows Plaintiff could perform light work, and gave considerable weight to the Mental RFC Assessment of Dr. Kay Cogbill, who opined Plaintiff was able to perform unskilled work. (Tr. 22). The ALJ did not give Ms. McFarland's opinion controlling weight, as Ms. McFarland is a licensed therapist (not an "acceptable source"). (Tr. 22).
The Court finds that based upon the foregoing, and considering the record as a whole, as well as those reasons given in Defendant's well-stated brief, there is substantial evidence to support the ALJ's RFC determination.
Accordingly, having carefully reviewed the record, the Court finds substantial evidence supporting the ALJ's decision denying the Plaintiff benefits, and thus the decision is hereby affirmed. The Plaintiff's Complaint should be, and is hereby, dismissed with prejudice.
IT IS SO ORDERED.