MARK J. DINSMORE, Magistrate Judge.
Plaintiff Christopher Dixon requests judicial review of the final decision of the Commissioner of the Social Security Administration ("Commissioner") denying his application for Supplemental Security Income ("SSI") under Title XVI of the Social Security Act ("the Act").
Dixon filed his application for SSI four-and-one-half years ago, in July 2012, alleging April 28, 2006 as the onset date of disability. [Dkt. 8-6 at 39 (R. 198).] In his disability report filed in conjunction with his application, Dixon listed chronic obstructive pulmonary disease, asthma, and a learning disability as his disabling conditions.
To be eligible for SSI, a claimant must have a disability pursuant to 42 U.S.C. § 1382c. Disability is defined as the inability to "engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 1382c(a)(3)(A).
To determine whether a claimant is disabled, the ALJ employs a five-step sequential analysis: (1) if the claimant is engaged in substantial gainful activity, he is not disabled; (2) if the claimant does not have a "severe" impairment, or one that significantly limits his ability to perform basic work activities, he is not disabled; (3) if the claimant's impairment or combination of impairments meets or medically equals any impairment appearing in the Listing of Impairments, 20 C.F.R. pt. 404, subpt. P, App. 1, the claimant is disabled; (4) if the claimant is not found to be disabled at step three and he is able to perform his past relevant work, he is not disabled; and (5) if the claimant is not found to be disabled at step three and either cannot perform his past relevant work or has no past relevant work but can perform certain other available work, he is not disabled. 20 C.F.R. § 404.1520. Before proceeding from step three to step four, the ALJ must assess the claimant's residual functional capacity (RFC), identifying the claimant's functional limitations and assessing the claimant's remaining capacity for work related activities. S.S.R. 96-8p, 1996 WL 374184.
The ALJ's findings of fact are conclusive and must be upheld by this Court "so long as substantial evidence supports them and no error of law occurred." Dixon v. Massanari, 270 F.3d 1171, 1176 (7th Cir. 2001). "Substantial evidence means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Id. The Court may not reweigh the evidence or substitute its judgment for that of the ALJ but may only determine whether substantial evidence supports the ALJ's conclusion. Overman v. Astrue, 546 F.2d 456, 462 (7th Cir. 2008) (citing Schmidt v. Apfel, 201 F.3d 970, 972 (7th Cir. 2000); Skinner v. Astrue, 478 F.3d 836, 841 (7th Cir. 2007)). The ALJ "need not contain a complete written evaluation of every piece of evidence." McKinzey v. Astrue, 641 F.3d 884, 891 (7th Cir. 2011) (quoting Schmidt v. Barnhart, 395 F.3d 737, 744 (7th Cir. 2005)). However, the "ALJ's decision must be based upon consideration of all the relevant evidence." Herron v. Shalala 19 F.3d 329, 333 (7th Cir. 1997). To be affirmed, the ALJ must articulate his analysis of the evidence in his decision. The ALJ must "provide some glimpse into his reasoning" and "build an accurate logical bridge from the evidence to his conclusion." Dixon, 270 F.3d at 1176. The scope of review is confined to the rationale offered by the ALJ. See SEC v. Chenery Corp., 318 U.S. 80, 93-95 (1943); Parker v. Astrue, 597 F.3d 920, 922 (7th Cir. 2010).
In his decision, the ALJ first determined that Dixon had not engaged in substantial gainful activity since July 6, 2012. [Dkt. 8-2 at 20 (R. 19).] At step two, the ALJ found Dixon's severe impairments to include "asthma/chronic obstructive pulmonary disease (COPD), residuals of stabbing, borderline intellectual functioning, and anxiety/post-traumatic stress disorder (PTSD)." [Id. (citation omitted)] At step three the ALJ found that Dixon did not have an impairment or combination of impairments that meets or medically equals a listing. [Dkt. 8-2 at 19-23 (R. 19-22).] The ALJ addressed Listing 3.03 for asthma; the digestive listings under 5.00; and Listings 12.02, 12.05, and 12.06 for mental disorders. [Id.]
Before step four, "after careful consideration of the entire record," the ALJ determined that Dixon had the RFC to perform light work with additional restrictions. [Dkt. 8-2 at 23 (R. 22).] Specifically, the ALJ found the following:
[Id.] At step four, the ALJ found that Dixon was unable to perform his past relevant work of maintenance worker and driver. [Dkt. 8-2 at 27 (R. 26).] After considering Dixon's age, education, work experience, and RFC, the ALJ found that Dixon could perform the jobs of grader/sorter, general laborer, and handpicker, which existed in significant numbers in the national economy. [Dkt. 8-2 at 28 (R. 24).] Based on these findings, the ALJ concluded that Dixon was not disabled under the Act. [Id.]
Dixon makes several arguments as to why the ALJ's decision must be reversed, challenging the ALJ's RFC determination and step three analysis on several grounds. The Court addresses each argument in turn.
Dixon argues that the ALJ's RFC determination insufficiently accounted for the ALJ's assessment that he has moderate limitations in concentration, persistence, or pace.
The RFC determination must be based upon an assessment of all relevant evidence in the record, Young v. Barnhart, 362 F.3d 955, 1000-01 (7th Cir. 2004), and must, "[a]s a general rule, . . . incorporate all of the claimant's limitations supported by the medical record," Yurt v. Colvin, 758 F.3d 850, 857 (7th Cir. 2014). This means that the ALJ must explain how the record evidence supports his conclusion that the assessed RFC "is the maximum that a claimant can still do despite his mental and physical limitations." Craft v. Astrue, 539 F.3d 668, 675-76 (7th Cir. 2008). Specifically, the ALJ may
Here, the ALJ assessed Dixon with "moderate difficulties" in concentration, persistence or pace in his step three discussion. [Dkt. 8-2 at 23 (R. 22).] Later, however, the ALJ states as follows:
[Dkt. 8-2 at 26 (R. 25).] The ALJ limited Dixon to "simple" tasks but did not include any limitation on Dixon's "ability to stick with" such simple tasks. O'Connor-Spinner, 627 F.3d at 620.
The ALJ's discussion of Dixon's limitations in concentration, persistence, or pace (excerpted above) is perplexing. First, with citations to Dixon's "mental status exams" and adult intelligence testing results, the ALJ concluded that Dixon was moderately impaired in these areas. [Dkt. 8-2 at 23 (R. 23).] Then, in the RFC discussion, the ALJ explained that Dixon is not so impaired when limited to simple tasks. But the ALJ fails to explain why or how this could be so. There is ample evidence that Dixon is at least moderately impaired in concentration, persistence, or pace; for example, one state consultative examiner assessed Dixon with "marked" difficulties in these areas [Dkt. 8-3 at 6 (R. 61)] while another assessed Dixon with "moderate" difficulties [Dkt. 8-3 at 19 (R. 74)].
To the extent the ALJ elected to reject or modify these evaluations, that decision was error because the ALJ failed to point to any evidence contradicting these conclusions. Rather, it appears that the ALJ imposed his lay opinion of the medical evidence and crafted these modified limitations out of whole cloth. See Clifford v. Apfel, 227 F.3d 863, 870 (7th Cir. 2000) ("[A]n ALJ must not substitute his own judgment for a physician's opinion without relying on other medical evidence or authority in the record."); Blakes ex rel. Wolfe v. Barnhart, 331 F.3d 565, 570 (7th Cir. 2003) ("This assessment is the result of a hunch and an ALJ may not rely on a hunch."). If, however, the ALJ credited these evaluations, then the ALJ erred in failing to accommodate their conclusions in Dixon's RFC. Contrary to the Commissioner's argument, the ALJ generally may not accommodate Dixon's deficiencies in concentration, persistence, or pace by limiting the complexity of his job tasks; O'Connor-Spinner and Yurt make this much clear. The ALJ failed to support his RFC with substantial evidence because he failed to account for the demonstrated limitations in concentration, persistence, or pace—or, at a bare minimum, failed to articulate why he was rejecting the medical evidence suggesting that such limitations were required. This failure to connect the dots requires remand. See Yurt, 758 F.3d at 859 (reversing for failure to build a "logical bridge between the evidence of mental impairments and the hypothetical and the mental RFC" (internal quotation omitted)).
Dixon additionally maintains that the ALJ erred in not finding him disabled at step three. Dixon argues that he meets Listing 12.05 for intellectual disability, explaining that the ALJ improperly rejected evidence without any explanation.
The step-three determination of whether a listing is met or equaled is an "ultimate legal question" left to the ALJ and which must be affirmed if supported by substantial evidence. S.S.R. 96-6P, 1996 WL 374180; Barnett v. Barnhart, 381 F.3d 664, 670 (7th Cir. 2004). To satisfy Listing 12.05, a claimant must satisfy the introductory "capsule" definition in addition to one of four enumerated criteria. 20 C.F.R. Pt. 404, Subpt. P, App. 1 § 12.05; Novy v. Astrue, 497 F.3d 708 (7th Cir. 2007); Charette v. Astrue, 508 Fed. App'x 551, 553 (7th Cir. 2013). As relevant here, the enumerated paragraphs provide that a claimant may be disabled if the claimant has certain low IQ scores.
However, before reaching the IQ score standards, a claimant must demonstrate "significantly subaverage general intellectual functioning with deficits in adaptive functioning initially manifested during the developmental period . . . before age 22." Id. § 12.05. The term "deficits in adaptive functioning," the Seventh Circuit has explained, "denotes inability to cope with the challenges of ordinary everyday life." Novy, 497 F.3d at 710. If a claimant is able to overcome such challenges in day-to-day living, then Listing 12.05 is unavailable, regardless of the claimant's IQ. See id.; Charette, 508 Fed. App'x at 553-54 ("[T]he ALJ identified the limitations [claimant] faces, such as difficulty remembering tasks and reading, and then discussed how he overcomes them well enough to live independently, manage household chores, take care of his pets, and socialize with other people."). As with the entirety of the ALJ's opinion, the ALJ's step three determination "must sufficiently articulate his assessment of the evidence to assure us that he considered the important evidence and to enable us to trace the path of his reasoning." Hickman v. Apfel, 187 F.3d 683, 689 (7th Cir. 1999) (alterations omitted).
This case is sufficiently analogous to Hendricks v. Astrue to require remand. No. 1:09-cv-0378-DFH-TAB, 2009 WL 648610 (S.D. Ind. Mar. 11, 2009) (Hamilton, C.J.). In Hendricks, the ALJ considered Listing 12.05 and found that "there is no evidence at all of deficits in adaptive functioning." Id. at *5. The court reversed the ALJ's determination, noting that the "Listing requirement is not no adaptive functioning but deficits in adaptive functioning." Id. at *7 (emphasis in original). The court cited to a doctor's mental RFC assessment and other evidence that could support the conclusion that the claimant was unable to "engage with the world," such as depending upon his spouse to complete daily tasks and frequently remaining in his room watching television. Id. The court concluded:
Id.
Here, as in Hendricks, the ALJ concluded that, "[i]n this case, the record fails to show
The above certainly qualifies as evidence of difficulty in coping "with the challenges of ordinary everyday life." Novy, 497 F.3d at 710. As the Commissioner explains, the ALJ discussed the evidence suggesting that Dixon is capable of dealing with such challenges. But he did so beginning from the erroneous premise that there was no evidence of deficits in adaptive functioning. It may be that the evidence to which the ALJ cites ultimately justifies the ALJ's conclusion that Dixon does not satisfy Listing 12.05, but the Court may not conclude that this is so (as the Commissioner requests) without improperly reweighing the evidence. The ALJ must, in the first instance, recognize the evidence of deficits in adaptive functioning for what it is and address it on those terms under Listing 12.05. See Hendricks, 2009 WL 648610. The Court should therefore reverse and remand the ALJ's decision for this additional reason.
Dixon next challenges the ALJ's weighing of Dr. Higginbotham's opinion, contending that the ALJ erred in failing to discuss the weight assigned to Dr. Higginbotham. Dr. Higginbotham opined that Dixon has a variety of impairments with regard to verbal comprehension, reasoning, and memory, to name a few areas. The ALJ limited Dixon to "simple, repetitive tasks requiring no independent judgment" with goals that are "static and predictable." [Dkt. 8-2 at 23 (R. 22).] Dixon fails to explain (aside from the issues discussed above regarding the ALJ's step three finding) what further limitations the ALJ should have imposed to accommodate Dr. Higginbotham's findings. See Schmidt v. Astrue, 496 F.3d 833, 844-45 (7th Cir. 2007) ("The ALJ also limited Schmidt's work to jobs not involving high production goals, thus giving some credibility to Schmidt's stress claims. We therefore find substantial evidence supporting the ALJ's determination of Schmidt's mental residual functional capacity."). Therefore, the ALJ's determination with respect to Dr. Higginbotham is supported by substantial evidence.
Finally, Dixon challenges the ALJ's literacy finding. Dixon notes that while the ALJ restricted Dixon to jobs where he could learn "duties with verbal instructions," nowhere does the ALJ engage in a discussion of Dixon's literacy. [Dkt. 8-2 at 23 (R. 22).] In response, the Commissioner argues that limiting Dixon to verbal instructions sufficiently accommodated any difficulties Dixon may have. The Commissioner further argues that any error is harmless, since Dixon makes no argument that his limitations would preclude him from performing the jobs found appropriate by the ALJ. In reply, Dixon argues that further literacy restrictions would restrict the jobs available to him.
The ALJ is required to consider a claimant's education and work experience, 20 C.F.R. § 404.1560(c), which includes literacy and length of education, id. § 404.1564(b). As the Social Security regulations explain, "Illiteracy means the inability to read or write. We consider someone illiterate if the person cannot read or write a simple message such as instructions or inventory lists even though the person can sign his or her name. Generally, an illiterate person has had little or no formal schooling." 20 C.F.R. § 404.1564(b)(1). The Seventh Circuit has explained that a determination of illiteracy is a "highly fact bound question"; a claimant "need only be able to read and write well enough to be able to hold simple, unskilled jobs." Glenn v. Sec'y of Health & Human Servs., 814 F.2d 387, 391 (7th Cir. 1987) (upholding the ALJ's determination that the claimant was literate despite the fact that the ALJ did not elaborate upon this finding).
The Court agrees with the Commissioner that Dixon has failed to explain how his limitations in literacy would preclude work as grader/sorter, general laborer, or handpacker, the three jobs found appropriate by the ALJ. See Schomas v. Colvin, 732 F.3d 702, 707 (7th Cir. 2013) ("We will not remand a case to the ALJ for further explanation if we can predict with great confidence that the result on remand would be the same."). "Sorter," for example, requires one to sort produce on a conveyor belt and discard unacceptable product. DICOT 529.687-186, 1991 WL 674781. Dixon offers no explanation as to why limitations in literacy would exclude this job. See Glenn, 814 F.2d at 391 (upholding ALJ's decision where claimant could not demonstrate that his literacy was inadequate "for purposes of his job as a baker's helper"); Treat v. Colvin, No. 1:13-CV-0002-SEB-DML, 2014 WL 1256006, at *8 (S.D. Ind. Mar. 25, 2014) (upholding ALJ's decision where claimant did not explain how job description was incompatible with claimant's capabilities).
Nonetheless, on remand, the ALJ should actually discuss Dixon's literacy limitations, make a literacy determination, and ensure that any such limitations are incorporated in the vocational expert's hypothetical. 20 C.F.R. §§ 404.1560(c), 404.1564(b). This is particularly critical in this case because, though neither party addresses the issue, "a finding of disability is required for persons who are aged 45-49, illiterate, and limited to unskilled work." Treat, 2014 WL 1256006, at *7 (citing 20 C.F.R. Pt. 404, Subpt. P, App. 2). Dixon was 40 years old at the time of his alleged disability and 45 years old at the time of his SSI application. Therefore, in addition to explaining and incorporating the extent of any literacy limitations in Dixon's RFC, the ALJ on remand should expressly make the "highly fact bound" determination of whether Dixon can "read and write well enough to be able to hold simple, unskilled jobs." Glenn, 814 F.2d at 391.
For the aforementioned reasons, the Court should find that substantial evidence does not support the ALJ's determination that Dixon is not disabled. The District Judge should therefore
Any objections to the Magistrate Judge's Report and Recommendation shall be filed with the Clerk in accordance with 28 U.S.C. § 636(b)(1) and Fed. R. Civ. P. 72(b), and failure to timely file objections within fourteen days after service shall constitute a waiver of subsequent review absent a showing of good cause for such failure.
