R. STAN BAKER, Magistrate Judge.
Plaintiff contests the decision of Administrative Law Judge Donald B. Fishman ("the ALJ" or "ALJ Fishman") denying his claim for a period of disability and disability insurance benefits. Plaintiff urges the Court to reverse the ALJ's decision and award him benefits. Defendant asserts the Commissioner's decision should be affirmed. For the reasons which follow, I
Plaintiff protectively filed an application for a period of disability and disability insurance benefits on June 13, 2011, alleging that he became disabled on June 13, 2008, due to chronic pain from degenerative disc and joint disease, carpel tunnel syndrome, and past injuries.
Plaintiff, born on March 25, 1964, was forty-nine (49) years old when ALJ Fishman issued his final decision. He has a tenth grade education. (
Pursuant to the Act, the Commissioner has established a five-step process to determine whether a person is disabled. 20 C.F.R. §§ 404.1520 & 416.920;
In the instant case, the ALJ followed this sequential process to determine that Plaintiff did not engage in substantial gainful activity during the period from his alleged onset date of June 13, 2008, through the date of ALJ Fishman's decision on February 22, 2013. (Doc. 11-2, p. 34.) At Step Two, the ALJ determined that Plaintiff had degenerative disc disease of the lumbar spine, status-post ulnar release, carpal tunnel syndrome, and degenerative joint disease of the right hip. (
Plaintiff contends the ALJ abused his discretion by failing to consider and incorporate Plaintiff's mental health impairments into his determination of Plaintiff's residual functional capacity and for improperly discounting the opinion of Dr. Marc W. Eaton, Ph.D. Relatedly, Plaintiff argues that the Appeals Council erred by not reversing the ALJ's decision after Plaintiff submitted additional health records. Plaintiff finally contends the ALJ failed to analyze his credibility in a proper manner.
It is well-established that judicial review of social security cases is limited to questions of whether the Commissioner's factual findings are supported by "substantial evidence," and whether the Commissioner has applied appropriate legal standards.
However, substantial evidence must do more than create a suspicion of the existence of the fact to be proved. The evidence relied upon must be relevant evidence which a reasonable mind would find adequate to support a conclusion.
Plaintiff contends ALJ Fishman abused his discretion by failing to accord proper weight to the medical source opinion of Dr. Eaton, an examining psychologist, and, therefore, did not consider the effect of Plaintiff's mental impairments on his residual functional capacity. (Doc. 1-1, p. 55.) Plaintiff also contends the Appeals Council erred by failing to consider new evidence that confirmed his attendance at mental health counseling sessions during March and April 2012. (Doc. 11-10, pp. 631-77; Doc. 13, p. 4.) According to Plaintiff, this subsequently submitted evidence refuted the ALJ's prior finding that Plaintiff had never received treatment for mental impairments and, therefore, compelled the Appeals Council to reverse the ALJ's decision.
Defendant responds that the ALJ adequately explained the basis of his decision and argues that substantial evidence supports the ALJ's determination of Plaintiff's residual functional capacity. (Doc. 14, pp. 7-9.) Defendant further responds that the Appeals Council properly denied Plaintiff's request for review because, notwithstanding the introduction of Plaintiff's mental health counseling records, the ALJ's decision was not contrary to the weight of evidence.
When determining how much weight to give to a medical opinion, the ALJ must consider several factors, including: (1) whether the doctor has examined the claimant; (2) the length, nature, and extent of a treating doctor's relationship with the claimant; (3) the medical evidence and explanation supporting the doctor's opinion; (4) how consistent the doctor's "opinion is with the record as a whole;" and (5) the doctor's specialization. 20 C.F.R. §§ 404.1527(c) & 416.927(c). These factors apply to both examining and non-examining doctors. 20 C.F.R. §§ 404.1527(e) & 416.927(e). A treating physician's opinion must be given substantial or considerable weight unless "good cause" is shown to the contrary.
The ALJ accorded relatively little weight to Dr. Eaton's opinion that Plaintiff suffers from anger, depression, and a personality disorder, as well as Dr. Eaton's conclusion that these psychological ailments exacerbate his chronic pain. (Doc. 11-2, p. 35.) Because Dr. Eaton is an examining physician, as opposed to a treating physician, the ALJ had discretion to discount the opinion.
Further, Dr. Eaton's opinion supports the ALJ's determination that Plaintiff is not disabled. (Doc. 11-9, pp. 63-65.) Dr. Eaton's mental status examination indicated that Plaintiff was logical, coherent, and exhibited no obsessions, compulsions, phobias, or antisocial tendencies. (
Finally, regardless of the weight accorded to Dr. Eaton's opinion, ALJ Fishman's residual functional capacity determination is supported by substantial evidence. The ALJ noted that, while Plaintiff filed a workers' compensation claim due to an injury sustained in 2008, he was released to return to work without restrictions on April 28, 2009. (Doc. 11-5, p. 4; Doc. 11-2, p. 36.) Treatment records from treating neurologist Dr. Stephen G. Pappas dated October 26, 2010, indicated that Plaintiff had full motor strength with normal muscle tone, no atrophy, and normal station and gait. (Doc. 11-9, p. 47.) On November 2, 2011, state agency physician Dr. Dawn Ferguson opined that Plaintiff could perform a reduced range of light work. (Doc. 11-10, pp. 2-10.) State agency physician Dr. Bato Amu also opined on February 2, 2012, that Plaintiff could perform a reduced range of light work. (
The Appeals Council must consider new, material, and chronologically relevant evidence.
In its review, the Appeals Council stated that it considered the additional evidence documenting Plaintiff's mental health counseling and evaluated whether the ALJ's decision was contrary to the weight of the evidence. (Doc. 11-2, pp. 3-4.) Thus, contrary to Plaintiff's first enumeration of error, the Appeals Council did not err by failing to consider the additional evidence.
Notwithstanding the additional evidence, substantial evidence on the record as a whole supports the ALJ's decision, and, as the Appeals Council noted, the ALJ's decision is not contrary to the weight of the evidence. First, as discussed above, Dr. Eaton concluded that Plaintiff could likely perform basic work tasks and could successfully engage in daily living activities. (Doc. 11-9, pp. 63-65.) Multiple physicians offered opinions consistent with those of Dr. Eaton, concluding that, despite his impairments, Plaintiff was capable of performing reduced light to medium work. (Doc. 11-9, p. 94; Doc. 11-10, pp. 2-10, 18-26.) Furthermore, because the counseling sessions were not conducted by a physician or licensed psychologist, the records documenting these sessions do not qualify as medical opinions from an "acceptable medical source."
The evaluation of an opinion from a medical source that is not an "acceptable medical source" depends on the particular facts in each case. Each case must be adjudicated on its own merits based on a consideration of the probative value of the opinions and a weighing of all the evidence in that particular case.
SSR 06-03. Because ample medical evidence on record indicates that Plaintiff's depression and anger do not significantly impact his ability to work, the Appeals Council did not abuse its discretion by according little weight to additional non-medical evidence documenting Plaintiff's attendance of mental health counseling. Accordingly, the Appeals Council properly denied Plaintiff's request for review because the ALJ's decision was not contrary to the weight of the evidence.
Plaintiff argues that ALJ Fishman also erred by improperly discrediting Plaintiff's testimony regarding his subjective complaints of pain. Plaintiff avers that medical evidence on record verifies his testimony, and that the ALJ therefore abused his discretion by substituting his opinion for the opinions of Plaintiff's medical providers. Defendant argues that Plaintiff's subjective complaints of pain are inconsistent with the record and that substantial evidence supports ALJ Fishman's adverse credibility determination.
"If a plaintiff testifies as to his subjective complaints of disabling pain and other symptoms, . . . the ALJ must clearly `articulate explicit and adequate reasons' for discrediting the claimant's allegations of completely disabling symptoms."
Review of ALJ Fishman's decision reveals that he considered Plaintiff's medical condition as a whole and clearly articulated the reasons behind his credibility determination. First, ALJ Fishman cited numerous medical records supporting his conclusion that Plaintiff inaccurately reported the severity of his pain and disability. Second, ALJ Fishman noted that, after a workers' compensation injury in 2008, Plaintiff was released to go back to work without limitation after his alleged date of onset of disability. (Doc. 11-2, p. 36.) Additionally, the ALJ found Plaintiff's claims that his pain was a level ten on a scale from one-to-ten a clear exaggeration in light of his medical records and reported daily activities.
The ALJ also noted that Plaintiff provided several inconsistent statements regarding his level of physical activity. While Plaintiff claimed that he could only bathe in a sink and required assistance, his wife indicated that Plaintiff was able to care for himself. (Doc. 11-2, p. 37; Doc. 11-6, pp. 39, 48.) Though Plaintiff testified at the hearing that he cannot sit or stand and spends most of his time lying down, Plaintiff was able to sit through his one-hour long consultative appointment with Dr. Eaton and regularly attends church and bible study. (Doc. 11-2, pp. 37, 73, 77.) Similarly, a consultative examination by Dr. Wallace revealed that Plaintiff had full range of motion of all joints except the cervical spine, full range of motion of all musculoskeletal systems except the hips and lumbar spine, and no limitations on the use of his hands. (
ALJ Fishman found that additional inconsistent testimony further eroded Plaintiff's credibility. For example, while Plaintiff initially testified that his physical impairments prevented him from driving, he later testified that he does not drive because he lost his license. (Doc. 11-2, pp. 37, 61; Doc. 11-6, p. 41.) Plaintiff's wife confirmed the latter testimony. (Doc. 11-6, p. 50.) In a form submitted in connection with his disability claim, Plaintiff alleged cardiovascular impairment and, on September 22, 2010, informed a consultative examiner that he had experienced chest pain for four years. (Doc. 11-2, p. 37; Doc. 11-6, p. 45; Doc. 11-9, p. 34.) However, CT scans and other scans failed to show cardiovascular impairment. (Doc. 11-2, p. 37; Doc. 11-9, p. 10.) Furthermore, Plaintiff's medical records indicate he first complained of chest pains on July 14, 2010, (doc. 11-8, p. 54), and at a follow-up appointment on August 13, 2010, alleged his chest pain began six weeks prior to that visit.
Credibility determinations are the province of the ALJ, and the Court will not disturb a clearly articulated credibility finding absent substantial evidence.
Based on the foregoing, I
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