PHILIP A. BRIMMER, District Judge.
This matter comes before the Court on the Complaint [Docket No. 1] filed by plaintiff Renee Lisa Castillo on December 27, 2016. Plaintiff seeks review of the final decision of defendant Nancy A. Berryhill (the "Commissioner") denying her claim for a period of disability and disability insurance benefits under Title II of the Social Security Act (the "Act"), 42 U.S.C. §§ 401-33, and supplemental security income under Title XVI of the Act, 42 U.S.C. §§ 1381, et seq. The Court has jurisdiction to review the Commissioner's final decision under 42 U.S.C. § 405(g).
On March 31, 2015, plaintiff applied for a period of disability and disability insurance benefits under Title II of the Act and supplemental security income under Title XVI of the Act. R. at 17. Plaintiff alleged that she had been disabled since June 1, 2013. Id. After an initial administrative denial of her claim, plaintiff received a hearing before an Administrative Law Judge ("ALJ") on March 30, 2016. Id. On June 10, 2016, the ALJ issued a decision denying plaintiff's claim. R. at 20. The ALJ found that plaintiff had the following severe impairments: "fibromyalgia, lumbar degenerative disc disease with post laminectomy syndrome and evidence of radiculopathy, mild cervical degenerative disc disease, mild degenerative joint disease of the left AC joint, depression, bipolar disorder, anxiety, impulse control disorder, generalized anxiety disorder, panic disorder with agoraphobia, and posttraumatic stress disorder (PTSD)." R. at 19-20. The ALJ concluded that these impairments, alone or in combination, did not meet one of the regulations' listed impairments, R. at 21, and found that plaintiff had the residual functional capacity ("RFC") to
R. at 23. Plaintiff has past relevant work as a receptionist. R. at 34. Based upon the RFC and in reliance on the testimony of a vocational expert ("VE"), the ALJ concluded that plaintiff is not capable of performing her past relevant work but is capable of performing jobs that exist in significant numbers in the national economy, including callout operator, document preparer, and hand painter/stainer. R. at 34-35.
On October 31, 2016, the Appeals Council denied plaintif f's request for review of the ALJ's denial of her claim. R. at 1. Given the Appeals Council's denial, the ALJ's decision is the final decision of the Commissioner.
Review of the Commissioner's finding that a claimant is not disabled is limited to determining whether the Commissioner applied the correct legal standards and whether the decision is supported by substantial evidence in the record as a whole. See Angel v. Barnhart, 329 F.3d 1208, 1209 (10th Cir. 2003). The district court may not reverse an ALJ simply because the court may have reached a different result based on the record; the question instead is whether there is substantial evidence showing that the ALJ was justified in her decision. See Ellison v. Sullivan, 929 F.2d 534, 536 (10th Cir. 1990). "Substantial evidence is more than a mere scintilla and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Flaherty v. Astrue, 515 F.3d 1067, 1070 (10th Cir. 2007). Moreover, "[e]vidence is not substantial if it is overwhelmed by other evidence in the record or constitutes mere conclusion." Musgrave v. Sullivan, 966 F.2d 1371, 1374 (10th Cir. 1992). The district court will not "reweigh the evidence or retry the case," but must "meticulously examine the record as a whole, including anything that may undercut or detract from the ALJ's findings in order to determine if the substantiality test has been met." Flaherty, 515 F.3d at 1070. Nevertheless, "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).
To qualify for disability benefits, a claimant must have a medically determinable physical or mental impairment expected to result in death or last for a continuous period of twelve months that prevents the claimant from performing any substantial gainful work that exists in the national economy. 42 U.S.C. § 423(d)(1)-(2). Furthermore,
42 U.S.C. § 423(d)(2)(A) (2006). The Commissioner has established a five-step sequential evaluation process to determine whether a claimant is disabled. 20 C.F.R. § 404.1520; Williams v. Bowen, 844 F.2d 748, 750 (10th Cir. 1988). The steps of the evaluation are:
Trimiar v. Sullivan, 966 F.2d 1326, 1329 (10th Cir. 1992) (citing 20 C.F.R. § 404.1520(b)-(f)). A finding that the claimant is disabled or not disabled at any point in the five-step review is conclusive and terminates the analysis. Casias v. Sec'y of Health & Human Servs., 933 F.2d 799, 801 (10th Cir. 1991).
The claimant has the initial burden of establishing a case of disability. However, "[i]f the claimant is not considered disabled at step three, but has satisf ied her burden of establishing a prima facie case of disability under steps one, two, and four, the burden shifts to the Commissioner to show the claimant has the residual functional capacity (RFC) to perform other work in the national economy in view of her age, education, and work experience." See Fischer-Ross v. Barnhart, 431 F.3d 729, 731 (10th Cir. 2005); see also Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987). While the claimant has the initial burden of proving a disability, "the ALJ has a basic duty of inquiry, to inform himself about facts relevant to his decision and to learn the claimant's own version of those facts." Hill v. Sullivan, 924 F.2d 972, 974 (10th Cir. 1991).
Plaintiff argues that the ALJ erred because he did not state valid reasons for rejecting the mental health-related limitations stated in the opinions of Richard Madsen, Ph.D. and MaryAnn Wharry, Psy.D. Docket No. 16 at 3. The specific limitations that plaintiff argues should have been included in her RFC are Dr. Madsen's opinion that plaintiff would be off task more than thirty percent of the work week and would miss three or more days of work per month. Id. at 10. Plaintiff also argues that the ALJ should have incorporated moderate limitations in her ability to interact appropriately with the public, accept instructions and respond appropriately to criticism from supervisors, get along with co-workers without distracting them, and respond appropriately to changes in work setting that were found by both Dr. Madsen and Dr. Wharry. Id. at 12. Defendant responds that the reasons given by the ALJ support his RFC determination and provide good reasons for rejecting the limitations of Drs. Madsen and Wharry. Docket No. 17 at 9-16.
Before weighing the medical opinions, the ALJ extensively discussed plaintiff's mental health conditions and activities of daily living over the preceding years, explaining why he determined that, although plaintiff's medical records show her conditions "would cause some functional limitations, they are less than disabling in severity." R. at 27. Near plaintiff's alleged 2013 onset date, the ALJ noted inconsistences between plaintiff's examinations and her testimony about her mental health symptoms. Id. The ALJ explained that plaintiff had significant social activities of daily living and her reported anxiety and depression were related, at least in part, to plaintiff's failure to take her medication and temporary difficulties rather than persistent underlying conditions. R. at 27-28.
The ALJ gave "very little weight to [Dr. Madsen's] opinion and the limitations assigned therein," finding that it is "not consistent with the longitudinal record, is overly vague in terms of the limitations assigned, and based almost exclusively on the claimant's subjective complaints, which were largely inconsistent with treatment notes at Spanish Peaks." R. at 32. The ALJ noted, in particular, that "Dr. Madsen's evaluation in February 2016 seemingly contains a number of newly subjective allegations" and it "was a representative-referred evaluation for the sole purpose of generating evidence in support of her applications, which is somewhat questionable given the lengthy longitudinal record provided by [her established mental health provider] Spanish Peaks." R. at 31. The ALJ also found that Dr. Madsen only examined plaintiff once and his opinion largely based his limitations on plaintiff's subjective complaints. R. at 32.
With respect to Dr. Wharry, the ALJ gave her opinion "partial weight" and found it supported "in terms of finding task complexity limitations and some social restriction, but given its vagueness, it is not entitled to greater weight." R. at 31-32. As support for his conclusion that the social restrictions were unwarranted, the ALJ noted plaintiff's "numerous activities of daily living," including that "she is able to go to the library, socializes frequently, and has not had any significant issues with her providers." R. at 31.
Plaintiff's argument that the ALJ improperly weighed the opinion evidence in this case boils down to a request that the Court reweigh the relevant evidence. Plaintiff acknowledges that "Dr. Madsen's opinion is not consistent with some things in the record," but argues this "does not mean Dr. Madsen's opinion is wrong" and claims that, instead, "the other evidence may be wrong." Docket No. 16 at 12 (emphasis removed). However, the Court's task is not to determine whether there is evidence supporting plaintiff's claims, but rather to determine whether the ALJ's decision is supported by substantial evidence in the record as a whole. Angel, 329 F.3d at 1209; Bowman v. Astrue, 511 F.3d 1270, 1272 (10th Cir. 2008) ("In reviewing the ALJ's decision, we neither reweigh the evidence nor substitute our judgment for that of the agency." (internal quotation marks omitted)). Although plaintiff argues that it was improper for the ALJ to reject Dr. Madsen's opinion on the basis that "it was prepared at counsel's request for purposes of the hearing," Docket No. 16 at 11; see, e.g., Quintero v. Colvin, 567 F. App'x 616, 620 (10th Cir. 2014) (unpublished) (finding the fact that a opinion was "prepared at counsel's request for purposes of the hearing . . ., without more, does not justify rejection of a medical opinion"), the relevant caselaw simply provides that this is not a sufficient basis on its own to reject a medical opinion, not that it does not support the rejection of a medical opinion in combination with other evidence and reasoning.
The Court finds that the ALJ's determination to reject limitations in Dr. Madsen's opinion is supported by substantial evidence. The ALJ noted Dr. Madsen's limited contact with plaintiff, which is a valid basis for questioning the reliability of his opinions. Frey v. Bowen, 816 F.2d 508, 515 (10th Cir. 1987) ("[F]indings of a nontreating physician based upon limited contact and examination are of suspect reliability."). Further casting doubt on the reliability of the opinions derived from such limited contact, the ALJ noted that Dr. Madsen's report mentioned new subjective complaints that are not found in plaintiff's extended treatment records from Spanish Peaks. R. at 31.
With respect to plaintiff's argument that the ALJ improperly excluded moderate limitations found by both Drs. Madsen and Wharry without supporting medical evidence, the Court finds these arguments unpersuasive. The ALJ's extensive discussion of plaintiff's mental health records and activities of daily living over the period after her alleged onset date points out numerous reasons for believing that plaintiff was not limited to the degree reflected in Drs. Madsen and Wharry's opinions, such as plaintiff's anxiety and depression being controlled by medication and plaintiff's reports of socializing and getting along well with others. R. at 27-29. Further, as the ALJ noted, plaintiff lost her previous employment due to misconduct, rather than an inability to interact appropriately with others or deal with changes in her workplace conditions. R. at 31; see also 20 C.F.R. § 416.945(a)(1) (The ALJ's RFC determination must be based on "all the relevant evidence in [plaintiff's] case record."). Thus, contrary to plaintiff's argument, the ALJ did not improperly discount uncontradicted medical testimony, but rather pointed to evidence supporting his RFC finding throughout the record. As both plaintiff and defendant acknowledge, the record in this case is mixed. See Docket No. 16 at 12; Docket No. 17 at 9. The Court finds that the ALJ relied on substantial evidence supporting his decision to omit certain limitations from plaintiff's RFC and gave good reasons for doing so. Accordingly, the Court will affirm the ALJ's decision.
For the foregoing reasons, it is
R. at 27-28.
R. at 28.
R. at 29.