SAM A. CROW, Senior District Judge.
This is an action reviewing the final decision of the Commissioner of Social Security denying the plaintiff supplemental security income payments. The matter has been fully briefed by the parties.
The court's standard of review is set forth in 42 U.S.C. § 405(g), which provides that "the findings of the Commissioner as to any fact, if supported by substantial evidence, shall be conclusive." The court should review the Commissioner's decision to determine only whether the decision was supported by substantial evidence and whether the Commissioner applied the correct legal standards.
The Social Security Act provides that an individual shall be determined to be under a disability only if the claimant can establish that they have a physical or mental impairment expected to result in death or last for a continuous period of twelve months which prevents the claimant from engaging in substantial gainful activity (SGA). The claimant's physical or mental impairment or impairments must be of such severity that they are not only unable to perform their previous work but cannot, considering their age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy. 42 U.S.C. § 423(d).
The Commissioner has established a five-step sequential evaluation process to determine disability. If at any step a finding of disability or non-disability can be made, the Commissioner will not review the claim further. At step one, the agency will find non-disability unless the claimant can show that he or she is not working at a "substantial gainful activity." At step two, the agency will find non-disability unless the claimant shows that he or she has a "severe impairment," which is defined as any "impairment or combination of impairments which significantly limits [the claimant's] physical or mental ability to do basic work activities." At step three, the agency determines whether the impairment which enabled the claimant to survive step two is on the list of impairments presumed severe enough to render one disabled. If the claimant's impairment does not meet or equal a listed impairment, the inquiry proceeds to step four, at which the agency assesses whether the claimant can do his or her previous work; unless the claimant shows that he or she cannot perform their previous work, they are determined not to be disabled. If the claimant survives step four, the fifth and final step requires the agency to consider vocational factors (the claimant's age, education, and past work experience) and to determine whether the claimant is capable of performing other jobs existing in significant numbers in the national economy.
The claimant bears the burden of proof through step four of the analysis.
On April 15, 2011, administrative law judge (ALJ) James Harty issued his decision (R. at 10-19). Plaintiff alleges that he has been disabled since August 31, 2007 (R. at 10). At step one, the ALJ found that plaintiff has not engaged in substantial gainful activity since plaintiff's application date of October 29, 2008 (R. at 12). At step two, the ALJ found that plaintiff has the following severe impairments: plantar fasciitis; lower extremity neuropathy; bipolar disorder; mood disorder not otherwise specified; anxiety disorder not otherwise specified; generalized anxiety disorder; antisocial personality disorder; and personality disorder not otherwise specified with antisocial traits (R. at 12). At step three, the ALJ determined that plaintiff's impairments do not meet or equal a listed impairment (R. at 12). After determining plaintiff's RFC (R. at 14), the ALJ determined at step four that plaintiff is unable to perform any past relevant work (R. at 18). At step five, the ALJ determined that plaintiff could perform other jobs that exist in significant numbers in the national economy (R. at 18-19). Therefore, the ALJ concluded that plaintiff was not disabled (R. at 19).
On June 2, 2009, Dr. Stern prepared a state agency mental RFC assessment opining that plaintiff had moderate limitations in the ability to understand, remember and carry out detailed instructions, interact appropriately with the general public, and get along with coworkers or peers without distracting them or exhibiting behavioral extremes. Dr. Stern indicated that plaintiff would be best suited to work that only requires that he remember and carry out simple instructions, and that he not require frequent interactions with the general public or coworkers (R. at 311-313). On January 16, 2010, Dr. Schulman affirmed this assessment (R. at 395).
A second state agency mental RFC assessment was prepared by Dr. Shwetz on March 9, 2010. Dr. Shwetz found plaintiff not only moderately limited in the above categories identified by Dr. Stern, but also found her moderately limited in these additional categories:
(R. at 418-419). Dr. Shwetz indicated that plaintiff would be best working at simple routine tasks in a structured quiet setting with clear work performance expectations and little distraction. She further stated that plaintiff would have difficulty being reliably consistent in pace and persistence. Plaintiff would need to work with a patient and nonthreatening supervisor who can give timely and constructive feedback, and would need to work with minimal changes and decision-making (R. at 420). Dr. Shwetz provided a very detailed explanation for making findings which were more restrictive than those of Dr. Stern (R. at 417). These two opinions provide the only detailed assessments of plaintiff's mental limitations.
The ALJ found that the opinions of Dr. Stern/Dr. Schulman were "consistent with the overall record and are given some weight." The ALJ found that the opinion of Dr. Shwetz is "not consistent with the overall record and is given little weight" (R. at 17). In his RFC findings, the ALJ included the following mental limitations:
(R. at 14). Thus, the ALJ's RFC findings incorporate all of the limitations contained in the assessment by Dr. Stern, but only incorporate a few of the additional limitations found by Dr. Shwetz.
At the hearing, the vocational expert (VE) found that plaintiff, given the ALJ's RFC findings, could perform other work in the national economy (R. at 51-52). However, the VE further testified that a person with the limitations contained in the assessment by Dr. Shwetz would preclude competitive employment (R. at 52-54).
An ALJ must evaluate every medical opinion in the record.
As noted above, the ALJ found that the assessment by Dr. Stern was consistent with the overall record, and was given some weight, while the assessment by Dr. Shwetz was not consistent with the overall record and was given little weight. The court finds that such a summary conclusion that the assessment was or was not consistent with the overall record is beyond meaningful judicial review. In the absence of ALJ findings supported by specific weighing of the evidence, the court cannot assess whether relevant evidence supports the ALJ's conclusion that an assessment was or was not consistent with the overall record.
As noted above, and by defendant in her brief (Doc. 19 at 17), it appears that the ALJ included a few, but not many of the additional limitations opined by Dr. Shwetz. However, an ALJ should explain why he rejected some limitations contained in an assessment, but appeared to adopt other limitations contained in the assessment.
Plaintiff also asserts error by the ALJ in his credibility findings. The court will not address this issue because it may be affected by the ALJ's resolution of the case on remand after providing a legally sufficient explanation for the weight accorded to the medical source opinions, particularly those of Dr. Stern and Dr. Shwetz.
IT IS THEREFORE ORDERED that the judgment of the Commissioner is reversed and remanded pursuant to sentence four of 42 U.S.C. § 405(g) for further proceedings consistent with this memorandum and order.