KENDALL J. NEWMAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision by the Commissioner of Social Security ("Commissioner") determining that plaintiff did not continue to be disabled for purposes of receiving Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI, respectively, of the Social Security Act ("Act").
For the reasons that follow, the court DENIES plaintiff's motion for summary judgment, GRANTS the Commissioner's cross-motion for summary judgment, and AFFIRMS the final decision of the Commissioner.
Plaintiff was born on November 20, 1965, has completed at least two years of college, can read and write in English, and previously worked as a customer service representative and a pressroom assistant. (Administrative Transcript ("AT") 50-54,101, 256, 262.)
In a decision dated August 12, 2013, the ALJ determined that plaintiff's disability had ceased as of March 2012. (AT 25-41.) The ALJ's decision became the final decision of the Commissioner when the Appeals Council denied plaintiff's request for review on January 12, 2015. (AT 1-6.) Plaintiff then filed this action in federal district court on March 12, 2015, to obtain judicial review of the Commissioner's final decision. (ECF No. 1.)
On appeal, plaintiff raises the sole issue of whether the ALJ improperly discounted plaintiff's own testimony concerning his symptoms and functional limitations attributable to his impairments.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
"A Social Security disability benefits claimant is no longer entitled to benefits when substantial evidence demonstrates (1) there has been any medical improvement in the claimant's impairment and (2) the claimant is now able to engage in substantial gainful activity."
In this case, the ALJ identified the most recent favorable medical decision, also known as the comparison point decision ("CPD"), as the March 22, 2007 decision, finding that plaintiff was disabled as of February 1, 2007. (AT 27.) At the time of the CPD, plaintiff suffered from the following medically determinable impairments: "major depression, severe, without psychotic features and a personality disorder not otherwise specified with narcissistic features; diabetes mellitus type II with symptoms consistent with peripheral neuropathy but no other complications and intermittent lower back pain." (
In comparison, the ALJ found that, at the time of the alleged medical improvement in March 2012, plaintiff had the residual functional capacity ("RFC") to perform the full range of sedentary work, and "mentally retains the capacity to understand, remember and carry out simple job instructions; interact with and respond appropriately to supervisors, coworkers or the public; as well as respond appropriately to routine work-related changes or stresses." (AT 29.) Based on plaintiff's age, education, work experience, and RFC, the ALJ concluded, in reliance on the VE's testimony, that plaintiff had been able to perform a significant number of jobs in the national economy as of March 2012. (AT 33.)
On appeal, plaintiff does not challenge the ALJ's evaluation of the medical evidence or the vocational expert's testimony. However, plaintiff contends that, in formulating plaintiff's RFC and determining that medical improvement related to plaintiff's ability to work occurred as of March 2012, the ALJ improperly discounted the credibility of plaintiff's own testimony regarding his continuing symptoms and functional limitations. That argument is unpersuasive.
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"The ALJ must specifically identify what testimony is credible and what testimony undermines the claimant's complaints."
As an initial matter, the ALJ did not entirely reject plaintiff's claims of pain, numbness, tingling, fatigue, depression, and related symptoms, but instead gave plaintiff the benefit of the doubt regarding many of his subjective complaints, ultimately restricting plaintiff to a reduced range of sedentary work. Nevertheless, to the extent that plaintiff alleged additional functional limitations beyond the RFC, the ALJ provided several specific, clear, and convincing reasons for discounting plaintiff's credibility.
First, the ALJ properly found that plaintiff's testimony regarding disabling symptoms and functional limitations was inconsistent with the medical opinion evidence.
Around the time that plaintiff was previously found disabled in early 2007, the consultative evaluating psychiatrist, who personally examined plaintiff, found, inter alia, that because of plaintiff's low energy, insomnia, and increased fatigue, he had a severe problem with persistence and pace. (AT 358.) Furthermore, the state agency psychiatrist, who reviewed plaintiff's records, opined that plaintiff had several marked mental limitations and was unable to sustain concentration, persistence, and pace in a competitive work environment. (AT 27, 388-90.)
By contrast, on February 17, 2012, the consultative evaluating psychologist, Dr. Amy Eargle, who reviewed plaintiff's prior records and personally examined plaintiff the month before his disability was deemed to have ceased, diagnosed plaintiff with "major depression, recurrent, mild" and opined that he was unimpaired in his ability to manage his own funds, perform simple and repetitive tasks, perform complex and detailed tasks, and respond appropriately to novel work situations including those involving urgency or safety considerations; mildly impaired in his ability to understand/implement/remember instructions without special supervision or additional guidance, and complete a normal workweek and maintain regular attendance; and moderately impaired in his ability to interact appropriately with supervisors, coworkers, and the public, as well as in his ability to cope with changes in routine and stress. (AT 32, 434-39.) Additionally, at the July 2, 2013 hearing, mental health expert and psychiatrist, Dr. Herbert Tanenhaus, testified that he essentially agreed with Dr. Eargle's assessed limitations, and clarified that plaintiff would be capable of at least occasional interactions with coworkers and could act appropriately with supervisors. (AT 32, 56-61.) Those mental health opinions were adopted by the ALJ, and support the ALJ's finding that medical improvement related to plaintiff's ability to work occurred, when compared to the earlier mental health opinions from 2007. (AT 32-33.)
Additionally, with respect to plaintiff's physical impairments, medical expert Dr. Lowell Sparks at the July 2, 2013 hearing diagnosed plaintiff with diabetes type two (fairly well controlled on insulin and oral medication); diabetic peripheral neuropathy in the lower extremities; early diabetic renal disease; controlled hypertension; mild obstructive sleep apnea; a history of cellulitis of the right forefoot, which healed after surgery in 2010; and obesity. (AT 31, 48-49.) Dr. Sparks essentially opined that plaintiff was capable of performing sedentary work with occasional postural activities and no manipulative or sensory limitations, and the ALJ adopted Dr. Sparks's opinion. (AT 31, 49-50.)
The above-mentioned medical opinions, which relate to March 2012 onwards, constitute substantial evidence, and to the extent that plaintiff alleged more severe symptoms and functional limitations, the ALJ reasonably relied on such evidence to discount plaintiff's allegations.
Second, the ALJ properly referenced a lack of objective findings to support at least some of plaintiff's alleged symptoms and functional limitations. By way of example, the ALJ noted that although plaintiff alleges that fibromyalgia and osteoarthritis cause him to suffer from widespread joint and muscle pain, the record "does not show the claimant being diagnosed with either of these conditions by his treating physician or him alleging to his physician that he suffers from pain throughout his musculoskeletal system." (AT 30-31.) Furthermore, although plaintiff testified regarding blurry vision allegedly attributable to his diabetes, the medical evidence did not document any vision problems caused by diabetes. (AT 30.) Even though a lack of objective findings to support the alleged severity of symptoms attributable to a medically determinable impairment cannot be the sole reason for discounting a claimant's credibility, it is nonetheless a relevant factor for the ALJ to consider.
Third, the ALJ legitimately observed that, despite alleging disabling mental impairment, plaintiff did not seek mental health treatment from a psychologist, psychiatrist, or other mental healthcare provider. (AT 32, 92.) Failure to seek consistent treatment is a proper consideration when evaluating credibility.
Fourth, the ALJ rationally found that many of plaintiff's impairments were controlled with medication. (AT 28, 30-31.) A condition that can be controlled or corrected by medication is not disabling for purposes of determining eligibility for benefits under the Act.
Consequently, the court concludes that the ALJ's credibility finding was supported by the record and by the proper analysis. Although an alternative interpretation of the evidence may be possible, the court defers, as it must, to the ALJ's reasonable and rational resolution of any ambiguities and inconsistencies. As the Ninth Circuit Court of Appeals explained:
In sum, the court finds that ALJ's decision is free from prejudicial error and supported by substantial evidence in the record as a whole. Accordingly, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 14) is DENIED.
2. The Commissioner's cross-motion for summary judgment (ECF No. 15) is GRANTED.
3. The final decision of the Commissioner is AFFIRMED, and judgment is entered for the Commissioner.
4. The Clerk of Court shall close this case.
IT IS SO ORDERED.