KRISTEN L. MIX, Magistrate Judge.
This matter is before the Court
Plaintiff alleges that he became disabled at the age of forty-one on June 1, 2011, due to anxiety, arthritis, hypertension, high blood pressure, paranoia, alcoholism, and left knee problems. Tr. 119, 144.
The ALJ determined that Plaintiff had not engaged in substantial gainful activity ("SGA") since January 26, 2012 (the date of Plaintiff's application). Tr. 12. The ALJ found that Plaintiff suffers from five severe impairments: (1) hypertension, (2) alcohol abuse in remission, (3) major depressive disorder, (4) generalized anxiety disorder, and (5) obesity.
Pursuant to the Act:
Barnhart v. Thomas, 540 U.S. 20, 21-22 (2003) (quoting 42 U.S.C. §§ 423(d)(2)(A), 1382c(a)(3)(B)). Under the applicable legal standard, a claimant is disabled if he or she is unable "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment . . . 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); see also Wall v. Astrue, 561 F.3d 1048, 1051 (10th Cir. 2009) (quoting 20 C.F.R. § 416.905(a)). The existence of a qualifying disabling impairment must be demonstrated by "medically acceptable clinical and laboratory diagnostic" findings. 42 U.S.C. §§ 423(d)(3), 423(d)(5)(A).
"When a claimant has one or more severe impairments the Social Security [Act] requires the [Commissioner] to consider the combined effects of the impairments in making a disability determination." Campbell v. Bowen, 822 F.2d 1518, 1521 (10th Cir. 1987) (citing 42 U.S.C. § 423(d)(2)(C)). However, the mere existence of a severe impairment or combination of impairments does not require a finding that an individual is disabled within the meaning of the Act. To be disabling, the claimant's condition must be so functionally limiting as to preclude any substantial gainful activity for at least twelve consecutive months. See Kelley v. Chater, 62 F.3d 335, 338 (10th Cir. 1995).
The Court reviews a final decision by the Commissioner by examining the administrative record and determining "whether the [ALJ's] factual findings are supported by substantial evidence in the record and whether the correct legal standards were applied." Wilson v. Astrue, 602 F.3d 1136, 1140 (10th Cir. 2010). However, the Court "may neither reweigh the evidence nor substitute [its] judgment for that of the agency." Harper v. Colvin, 528 F. App'x 887, 890 (10th Cir. 2013) (quoting Barnett v. Apfel, 231 F.3d 687, 689 (10th Cir. 2000)). In other words, the Court does not reexamine the issues de novo. Sisco v. U.S. Dep't of Health & Human Servs., 10 F.3d 739, 741 (10th Cir. 1993). Thus, even when some evidence could support contrary findings, the Court "may not displace the agency's choice between two fairly conflicting views," even if the Court may have "made a different choice had the matter been before it de novo." Oldham v. Astrue, 509 F.3d 1254, 1257-58 (10th Cir. 2007).
The Social Security Administration uses a five-step framework to determine whether a claimant meets the necessary conditions to receive Social Security benefits. See 20 C.F.R. § 416.920. The claimant bears the burden of proof at steps one through four, and if the claimant fails at any of these steps, consideration of any subsequent steps is unnecessary. Williams v. Bowen, 844 F.2d 748, 750 (10th Cir. 1988) ("If a determination can be made at any of the steps that a claimant is or is not disabled, evaluation under a subsequent step is not necessary."). The Commissioner bears the burden of proof at step five. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987).
Step one requires the ALJ to determine whether a claimant is "presently engaged in substantial gainful activity." Wall, 561 F.3d at 1052 (quoting Allen v. Barnhart, 357 F.3d 1140, 1142 (10th Cir. 2004)). If not, the ALJ considers at step two whether a claimant has "a medically severe impairment or impairments." Id. "An impairment is severe under the applicable regulations if it significantly limits a claimant's physical or mental ability to perform basic work activities." Wall, 561 F.3d at 1052 (citing 20 C.F.R. § 404.1521). Next, at step three, the ALJ considers whether a claimant's medically severe impairments are equivalent to a condition "listed in the appendix of the relevant disability regulation," i.e., the "Listings." Wall, 561 F.3d at 1052 (quoting Allen, 357 F.3d at 1142). "If a claimant's impairments are not equivalent to a listed impairment, the ALJ must consider, at step four, whether a claimant's impairments prevent [him] from performing her past relevant work." Wall, 561 F.3d at 1052 (citing Allen, 357 F.3d at 1142). "Even if a claimant is so impaired, the agency considers, at step five, whether [he] possesses the sufficient [RFC] to perform other work in the national economy." Id.
An ALJ must consider all evidence and explain why he or she finds a claimant not disabled. Clifton v. Chater, 79 F.3d 1007, 1009 (10th Cir. 1996). However, the ALJ need not specifically "reference everything in the administrative record." Wilson, 602 F.3d at 1148. "Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Id. at 1140 (internal quotation marks omitted). "It requires more than a scintilla, but less than a preponderance." Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007). A decision by the ALJ is not based on substantial evidence "if it is overwhelmed by other evidence in the record. . . ." Grogan v. Barnhart, 399 F.3d 1257, 1261-62 (10th Cir. 2005). In other words, the Court's determination of whether the ALJ has supported his or her ruling with substantial evidence "must be based upon the record taken as a whole." Washington v. Shalala, 37 F.3d 1437, 1439 (10th Cir. 1994). Further, evidence is not substantial if it "constitutes mere conclusion." Musgrave v. Sullivan, 966 F.2d 1371, 1374 (10th Cir. 1992). In addition, "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).
Plaintiff requests judicial review of the ALJ's decision denying him disability insurance benefits and supplemental security income. Brief [#14] at 11-12. Plaintiff's arguments include the following: (1) the ALJ erred by giving undue weight to the opinion of the State agency psychologist, Mark Berkowitz, Psy.D. ("Dr. Berkowitz"); (2) the ALJ erred by failing to support the physical RFC finding with substantial evidence; and (3) the ALJ erred by failing to provide proper reasons for rejecting the limitations suggested by William Morton, Psy.D. ("Dr. Morton"). Id. at 4.
Dr. Berkowitz is a State agency psychologist who rendered a medical opinion regarding Plaintiff's alleged impairments on May 29, 2012. Tr. 69. Plaintiff argues that "the ALJ improperly gave significant weight to Dr. Berkowtiz's opinion that plaintiff had no severe mental impairments, in light of the fact that the ALJ's RFC finding belies that opinion." Reply [#16] at 10. Specifically, Plaintiff states that "[c]ontrary to Dr. Berkowitz's opinions, the ALJ found plaintiff's mental impairments to be severe ([Tr.] 12, finding 2), and found they caused work-related limitations ([Tr.] 14, finding 4). Thus, the ALJ's finding conflict[s] with [her] assignment of significant weight to Dr. Berkowitz's opinion." Brief [#14] at 28.
Plaintiff misinterprets Dr. Berkowitz's statement that "[the claimant's mental] impairment appears to be not severe." See Tr. 68-69. Dr. Berkowitz's report addresses steps two and three of the Social Security Administration's five-step framework to determine whether a claimant meets the necessary conditions to receive Social Security benefits. See 20 C.F.R. § 416.920. Dr. Berkowitz's above-quoted statement clearly pertains to step three of the evaluation, i.e., whether claimant's medically severe impairments are equivalent to a condition in the Listings. See Wall, 561 F.3d at 1052. This conclusion is supported earlier in Dr. Berkowitz's report, where his discussion pertains to step two of the evaluation, i.e., whether a claimant has a medically severe impairment or impairments. Id. At that section of the report, he states that Plaintiff has one or more medically determinable impairments, provides a list of those impairments (which includes mental impairments), and explicitly states that each of the listed impairments is "[s]evere." Tr. 68-69.
Further, the ALJ clearly understood the appropriate context for Dr. Berkowitz's statement that "[the claimant's mental] impairment appears to be not severe." See Tr. 69. In the Decision, the ALJ stated that "the undersigned gives significant weight to Dr. Berkowitz's opinion. Accordingly, the undersigned finds that the claimant does not have a mental impairment or combination of mental impairments of Listing-level severity." Tr. 14. Although Dr. Berkowitz found that Plaintiff had severe medically determinable impairments at step two, he further found that Plaintiff's impairments were not of Listing-level severity at step three. Tr. 68-69. The Court therefore finds no merit in Plaintiff's argument that "Dr. Berkowitz [opined] that [P]laintiff had no severe mental impairments." Reply [#16] at 10. Thus, Plaintiff's argument that the "ALJ's own findings totally contradict" Dr. Berkowitz's opinion is also without merit.
Accordingly, the Court finds that the ALJ did not commit reversible error with respect to this issue.
In stating Plaintiff's RFC, the ALJ found that Plaintiff could perform medium work as defined in 20 C.F.R. § 416.967(c), with an additional requirement that Plaintiff not be exposed to unprotected heights or hazardous machinery. Tr. 14. Plaintiff argues that this finding is not supported by substantial evidence. Brief [#14] at 20-22; Reply [#16] at 11-13.
"Medium work" is defined as work which "involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds." 20 C.F.R. § 416.967(c). Plaintiff argues that these limitations, along with the limitation that Plaintiff not be exposed to unprotected heights or hazardous machinery, are supported only by the State agency's Single Decision Maker's ("SDM") report. Reply [#16] at 13. The ALJ referenced the SDM's report in the Decision as follows:
Tr. 20 (internal citations omitted). Plaintiff essentially asks the Court to find that the ALJ lied about giving the SDM's report no weight. See Brief [#14] at 31 ("[The ALJ's' statement, plus the fact that the RFC is physically identical to the SDM's opinion, and the fact that the record contains no other opinion of physical restrictions, certainly suggests that the ALJ's RFC finding was based on the SDM's opinion.").
The Court finds no merit to this argument for two reasons. First, the ALJ's RFC finding and the SDM's report are not, in fact, identical with respect to physical limitations. Both the SDM and the ALJ found that Plaintiff could perform medium work, was limited to lifting or carrying 50 pounds occasionally and 25 pounds frequently. Tr. 14, 71, 73. However, the SDM found additional limitations not embraced by the ALJ, including that Plaintiff was limited to standing or walking only six hours in an eight-hour work day, that Plaintiff was limited to sitting only six hours in an eight-hour work day, and that Plaintiff should be limited to climbing ladders, ropes, and scaffolds no more than "frequently." Tr. 71. These differences demonstrate that the ALJ's RFC assessment was not identical to the SDM's assessment.
Second, the Court notes that the ALJ essentially gave Plaintiff the benefit of the doubt by placing greater limitations on him than are present in the record. For example, the ALJ gave great weight to the July 19, 2012 opinion of Heather Abrahamson, D.O. ("Dr. Abrahamson"). Tr. 19. The ALJ noted that:
Tr. 19 (citing Tr. 302-04). Plaintiff does not argue that the ALJ erred by relying on the no-limitations assessment by Dr. Abrahamson. Further, Plaintiff does not argue that the ALJ erred by failing to rely on other substantial evidence in the record indicating a greater level of limitation than that suggested by Dr. Abrahamson.
Accordingly, given the disparity between the ALJ's RFC assessment and the SDM's report, and the ALJ's explicit reliance on Dr. Abrahamson's July 19, 2012 opinion, the Court finds that the ALJ did not commit reversible error with respect to this issue.
The ALJ gave "some weight" to the opinion of Dr. Morton, who conducted a consultative psychological examination of Plaintiff on May 15, 2012. Tr. 17-18. Plaintiff concedes that the ALJ took into account some of the limitations suggested by Dr. Morton but argues that the ALJ did not have valid reasons for rejecting some of Dr. Morton's other suggested limitations. Brief [#14] at 16.
In the Decision, the ALJ summarized Dr. Morton's May 15, 2012 opinion as follows:
Tr. 17-18.
The ALJ placed the following mental limitations on Plaintiff's RFC: (1) "does not require more than occasional interaction with supervisors, coworkers or the general public," (2) "does not require complex judgement or decision-making;" and (3) "does not require the ability to understand, remember, and carry out complex or detailed instructions such that he needs to perform work which has a Specific Job Preparation (SVP) less than or equal to 3." Tr. 14. Plaintiff argues that the ALJ failed to provide proper reasons for why she discounted Dr. Morton's suggested limitations regarding Plaintiff's abilities to maintain attention, concentration, and pace and to respond appropriately to changes in a work place. Reply [#16] at 6.
The plaintiff in Haga v. Astrue, 482 F.3d 1205 (10th Cir. 2007), made a similar argument to the one Plaintiff makes here. In Haga:
482 F.3d at 1207-08 (internal citations omitted).
Here, the ALJ gave Dr. Morton's opinion "some weight" to the extent it "relates to the period prior to the time the claimant began mental health treatment." Tr. 18. This period would be approximately January 26, 2012, through July 2012. See Tr. 12, 18. However, a number of issues are unclear regarding the ALJ's use of Dr. Morton's opinion. For example, it is unclear whether the ALJ gave Dr. Morton's opinion any weight for the period after Plaintiff began mental health treatment. It is also unclear whether the RFC pertained to Plaintiff for the period prior to beginning mental health treatment, or after. Further, it is unclear to what extent the "some weight" given to Dr. Morton's opinion ultimately impacted the RFC. Finally, it is unclear why some of the limitations suggested by Dr. Morton were included in the RFC and why others were not. In short, the Court has been unable to follow the ALJ's reasoning regarding Dr. Morton's opinion and the ALJ's RFC assessment. Although the Court does not insist on "technical perfection" in the ALJ's Decision, the Court must be able to follow the ALJ's reasoning. See Keyes-Zachary v. Astrue, 695 F.3d 1156, 1166 (10th Cir. 2012). In light of Haga, the Court must remand this matter to the ALJ for further explanation of her use of Dr. Morton's opinion and how she reached the mental limitations placed on Plaintiff's RFC.
For the foregoing reasons,
IT IS HEREBY
IT IS FURTHER