H. BRENT BRENNENSTUHL, Magistrate Judge.
Before the Court is the complaint (DN 1) of Justin Wayne Cooney ("Plaintiff") seeking judicial review of the final decision of the Commissioner pursuant to 42 U.S.C. § 405(g). Both the Plaintiff (DN 13, 14) and Defendant (DN 19) have filed a Fact and Law Summary.
Pursuant to 28 U.S.C. § 636(c) and Fed.R.Civ.P. 73, the parties have consented to the undersigned United States Magistrate Judge conducting all further proceedings in this case, including issuance of a memorandum opinion and entry of judgment, with direct review by the Sixth Circuit Court of Appeals in the event an appeal is filed (DN 11). By Order entered September 4, 2014 (DN 12), the parties were notified that oral arguments would not be held unless a written request therefor was filed and granted. No such request was filed.
On March 4, 2013, Plaintiff protectively filed applications for Disability Insurance Benefits and Supplemental Security Income Benefits (Tr. 12, 217-223, 224-230, 258). Plaintiff alleged that he became disabled on May 18, 2012, as a result of bipolar disorder, stomach ulcers, ulcerative colitis, depression, heart problems, and Attention Deficit Hyperactivity Disorder (ADHD) (Tr. 12, 217, 224, 257, 262, 263). Administrative Law Judge Kevin R. Martin ("ALJ") conducted a hearing on January 9, 2014, in Evansville, Indiana (Tr. 12, 29-31). Plaintiff was present and represented by attorney Austin P. Vowels (Tr. 12, 29-31). Also present and testifying was Lisa A. Courtney, an impartial vocational expert (Tr. 12, 29-31).
In a decision dated January 28, 2014, the ALJ evaluated this adult disability claim pursuant to the five-step sequential evaluation process promulgated by the Commissioner (Tr. 10-22). At the first step, the ALJ found Plaintiff has not engaged in substantial gainful activity since May 18, 2012, the alleged onset date (Tr. 14). At the second step, the ALJ determined that Plaintiff=s history of ulcerative colitis; bipolar disorder; panic disorder; post-traumatic stress disorder; and ADHD are "severe" impairments within the meaning of the regulations (Tr. 15). At the third step, the ALJ concluded that Plaintiff does not have an impairment or combination of impairments that meets or medically equals one of the listed impairments in Appendix 1 (Tr. 15).
At the fourth step, the ALJ found Plaintiff has the residual functional capacity to perform less than a full range of medium work because he may understand, remember, and carry out simple instructions in work settings requiring no more than occasional interaction with supervisors and coworkers and no more than incidental interaction with the public (Tr. 17). Further, the ALJ found Plaintiff has no past relevant work (Tr. 21).
The ALJ proceeded to the fifth step where he considered Plaintiff=s residual functional capacity, age, education, and past work experience as well as testimony from the vocational expert (Tr. 21-22). The ALJ found that Plaintiff is capable of performing a significant number of jobs that exist in the national economy (Tr. 21-22). Therefore, the ALJ concluded that Plaintiff has not been under a "disability," as defined in the Social Security Act, from May 18, 2012 through January 28, 2014, the date of the decision (Tr. 22).
Plaintiff timely filed a request for the Appeals Council to review the ALJ=s decision (Tr. 7). The Appeals Council denied Plaintiff=s request for review of the ALJ=s decision (Tr. 1-3).
The Social Security Act authorizes payment of Disability Insurance Benefits and Supplemental Security Income to persons with disabilities. 42 U.S.C. §§ 401 et seq. (Title II Disability Insurance Benefits), 1381 et seq. (Title XVI Supplemental Security Income). The term "disability" is defined as an
42 U.S.C. §§ 423(d)(1)(A) (Title II), 1382c(a)(3)(A) (Title XVI); 20 C.F.R. §§ 404.1505(a), 416.905(a);
The Commissioner has promulgated regulations setting forth a five-step sequential evaluation process for evaluating a disability claim.
Here, the ALJ denied Plaintiff's claim at the fifth step.
As previously mentioned, the Appeals Council denied Plaintiff=s request for review of the ALJ's decision (Tr. 1-3). At that point, the ALJ=s decision became the final decision of the Commissioner. 20 C.F.R. §§ 404.955(b), 404.981, 422.210(a);
Review by the Court is limited to determining whether the findings set forth in the final decision of the Commissioner are supported by "substantial evidence," 42 U.S.C. Section 405(g);
Plaintiff disagrees with Finding No. 3 (DN 14, Fact and Law Summary; DN 13, Memorandum at Page 11). This finding addresses the second step in the sequential evaluation process.
At the second step in the sequential evaluation process a claimant must demonstrate he has a "severe" impairment. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii);
In Finding No. 3 the ALJ concluded that Plaintiff "has the following severe impairments: History of ulcerative colitis; bipolar disorder; panic disorder; post-traumatic stress disorder; and attention-deficit hyperactivity disorder by history..." (Tr. 15). Plaintiff disagrees with Finding No. 3 because he believes "the ALJ failed to mention: tremors, agoraphobia, depression, and severe psychosocial stressors" (DN 13, Memorandum at Page 11). However, Plaintiff does not explain why each of these three conditions is a medically determinable impairment that significantly limits his ability to do one or more basic work activities (
Next, Plaintiff disagrees with Finding No. 4 (DN 14, Fact and Law Summary; DN 13, Memorandum at Pages 7-16). Finding No. 4 addresses the third step in the sequential evaluation process (Tr. 15).
At the third step, a claimant has the burden of demonstrating he has an impairment that meets or medically equals a listing in Appendix 1.
Here, the ALJ concluded Plaintiff's bipolar disorder did not satisfy the "paragraph B" or "paragraph C" criteria for listing 12.04 (Tr. 15-16). The undersigned will first address Plaintiff's argument that he satisfies the "paragraph B" criteria for listing 12.04.
The ALJ observed that to satisfy the "paragraph B" criteria the mental impairment must result in at least two of the following:
(Tr. 15). This is an accurate summation of how the Commissioner uses the four criteria in paragraph B to assess the severity of functional limitations imposed by a mental impairment. 20 C.F.R. Pt. 404, Subpt. P, App. 1, 12.00C.
Plaintiff asserts he has demonstrated "marked" restrictions in activities of daily living because he cannot drive, he occasionally needs help getting out of bed and dressing, he needs help on the toilet, and he cannot stand to be in public (DN 13, Memorandum at Pages 10, 12-13). Further, Plaintiff contends the ALJ failed to consider his statements about vomiting almost daily, his typically needing help getting out of bed, and the debilitating nature of his agoraphobia (
In making these arguments, Plaintiff overlooks the fact that his statements about symptoms will not, taken alone, establish that he is disabled; there must be medical signs and laboratory findings that show the existence of medical impairments that could reasonably be expected to give rise to the symptoms alleged. 20 C.F.R. §§ 404.1529(a), 416.929(a). The ALJ appropriately applied the two-part test set forth in
First, the ALJ confirmed there was objective medical evidence with regard to the medical conditions (Tr. 14-20). Then the ALJ determined the objectively established physical and mental conditions were not of such severity that they could reasonably be expected to produce the degree of limitation alleged by Plaintiff (Tr. 19). Because Plaintiff's subjective complaints regarding his symptoms suggested impairments of greater severity than could be shown by objective medical evidence, the ALJ appropriately considered other information and factors that may be relevant to the symptoms alleged (Tr. 17-20). 20 C.F.R. §§ 404.1529(c)(3), 416.929(c)(3). For example, the ALJ considered Plaintiff's level of daily activity as a factor in determining the extent to which the symptoms are of disabling severity (Tr. 15-19). 20 C.F.R. §§ 404.1529(c)(3)(i), 416.929(c)(3)(i);
The ALJ found from the medical record and Plaintiff's testimony that Plaintiff does not suffer symptoms to the extent he testified (Tr. 15-20). In the absence of detailed corroborating evidence of Plaintiff's subjective complaints, it becomes the duty of the ALJ to resolve the issue of Plaintiff's credibility. Since tolerance of symptoms is a highly individualized matter, and a determination of disability based on symptoms depends, of necessity, largely on the credibility of the Plaintiff, the conclusion of the ALJ, who had the opportunity to observe the Plaintiff's demeanor, "should not be discharged lightly."
The ALJ made the following findings with regard to Plaintiff's activities of daily living:
(Tr. 15). In light of the ALJ's findings regarding the credibility of Plaintiff's symptoms, the above findings regarding the degree of restriction to Plaintiff's activities of daily living are supported by substantial evidence in the record, including the opinions of both non-examining state agency psychologists (Tr. 15, 17-20, 74, 89, 108, 124).
Next, Plaintiff claims he has marked restrictions in social functioning because he cannot stand to be in public, he cannot get along with people, he has no social interaction outside of his immediate family, and he was fired from his last two jobs due to conflicts with other employees/supervisors (DN 13, Memorandum at Pages 10-11, 13-15). Plaintiff also faults the ALJ for focusing on the consultative psychological examiner's observations that he exhibited normal social judgment and a cooperative attitude (
Again, the ALJ's findings regarding the credibility of Plaintiff's subjective complaints about his symptoms are an important facet to this analysis. Further, the ALJ discounted the GAF ratings and limitations expressed by the consultative psychological examiner, Ms. Walpert, because they appeared to be based on Plaintiff's less than accurate subjective statements rather than objective findings during the mental status examination (Tr. 19, 20). The ALJ made the following findings regarding Plaintiff's level of social functioning:
(Tr. 16). In light of the ALJ's findings regarding the credibility of Plaintiff's symptoms, the above findings regarding the degree of restriction to Plaintiff's social functioning are supported by substantial evidence in the record, including the opinions of both non-examining state agency psychologists (Tr. 15, 17-20, 74, 89, 108, 124).
Next, Plaintiff claims he has marked restrictions in concentration, persistence or pace because he has been diagnosed with ADHD by nearly every physician who has seen him; he has testified that he cannot focus on activities he used to find enjoyable; and his last boss indicated he got flustered in rush situations on the job (DN 13, Memorandum at Pages 11, 15-16). There is no dispute that Plaintiff has been diagnosed with ADHD. The issue is the severity of Plaintiff's ADHD.
(Tr. 16). In light of the ALJ's findings regarding the credibility of Plaintiff's symptoms, the above findings regarding the degree of restriction to Plaintiff's concentration, persistence, or pace are supported with substantial evidence in the record, including the opinions of both non-examining state agency psychologists (Tr. 15, 17-20, 74, 89, 108, 124).
Finally, Plaintiff alleges he has experienced "repeated episodes of decompensation, each of extended duration, most recently his current state of not being able to drive and staying in his house, away from the public, all of the time" (DN 13, Memorandum at Pages 11, 16). Yet the ALJ noted Plaintiff has had "little mental health treatment and even medication prescribed by his primary care provider has been sporadic at best" (Tr. 19). Thus, in assessing whether Plaintiff experienced repeated episodes of decompensation, each of extended duration, the ALJ appropriately considered whether there were medical records showing a significant alteration in medication or "the need for a more structured psychological support system (e.g., hospitalizations, placement in a halfway house, or a highly structured and directing household) ..." 20 C.F.R. Pt. 404, Subpt. P, App. 1, 12.00(C)(4). The ALJ concluded the evidence did not establish significant alterations in medication or the existence of a highly structured/supportive living environment within Plaintiff's home (Tr. 16-17). Further, the ALJ discounted Plaintiff's subjective complaints regarding the degree of limitation caused by his mental impairments. The ALJ made the following finding with regard to episodes of decompensation:
(Tr. 15-16). In light of the ALJ's findings regarding the credibility of Plaintiff's symptoms, the above findings regarding episodes of decompensation are supported with substantial evidence in the record, including the opinions of both non-examining state agency psychologists (Tr. 15, 17-20, 74, 89, 108, 124).
In sum, the ALJ made a thorough review of the record and concluded "[b]ecause the claimant's mental impairments do not cause two `marked' limitations or one `marked' limitation and `repeated' episodes of decompensation, each of extended duration, the `paragraph B' criteria are not satisfied" (Tr. 16). This finding is supported by substantial evidence in the record and comports with applicable law.
Alternatively, Plaintiff asserts that he satisfies the paragraph C criteria for listing 12.04 because "[h]e was diagnosed with anxiety and depression as far back as at least 2011 and bipolar as far back as at least 2012" (DN 13, Memorandum at Page 9). Plaintiff claims:
(DN 13, Memorandum at Page 9). In support of this position, Plaintiff asserts he hardly leaves his home because he cannot stand people and he has been to the hospital multiple times due to panic attacks (DN 13, Memorandum at Page 9). Additionally, Plaintiff contends he does minimal cooking and needs his wife with him when he is shopping because he often becomes disturbed while in a store (DN 13, Memorandum at Page 9). Finally, Plaintiff contends that his mother, grandmother, and wife care for him (DN 13, Memorandum at Page 9).
Again, the ALJ discounted the credibility of Plaintiff's subjective statements regarding the degree of limitation imposed by his mental impairment. Further, the ALJ made the following findings related to the issue of whether Plaintiff met the "paragraph C" criteria:
(Tr. 16). The ALJ's findings are supported by substantial evidence in the record and fully comport with applicable law. In sum, there is no merit to Plaintiff's challenge to Finding No. 4.
Next, Plaintiff disagrees with Finding No. 5 (DN 13, Memorandum at Pages 16-18; DN 14, Fact and Law Summary). This finding sets forth the ALJ's residual functional capacity assessment (Tr. 17).
The residual functional capacity finding is the Administrative Law Judge=s ultimate determination of what a claimant can still do despite his or her physical and mental limitations. 20 C.F.R. §§ 404.1545(a), 404.1546, 416.945(a), 416.946. The residual functional capacity finding is based on a consideration of medical source statements and all other evidence in the case record about what a claimant can do despite limitations caused by his or her physical and mental impairments. 20 C.F.R. §§ 404.1529, 404.1545(a), 404.1546, 416.929, 416.945(a), 416.946; Social Security Ruling 96-5p; Social Security Ruling 96-7p. Thus, in making the residual functional capacity finding the Administrative Law Judge must necessarily assign weight to the medical source statements in the record and consider the subjective allegations of the claimant and make credibility findings. 20 C.F.R. §§ 404.1527(c), 404.1529; Social Security Ruling 96-7p.
Plaintiff argues substantial evidence does not support the ALJ's finding that Plaintiff has the residual functional capacity to "perform medium work ... except [he] may understand, remember, and carry out simple instructions in work settings requiring no more than occasional interaction with supervisors and coworkers and no more than incidental interaction with the public" (DN 13, Memorandum at Pages 16-17; quoting Tr. 17). Plaintiff argues due to his lack of medical insurance and an inability to pay for medical treatment it was inappropriate for the ALJ to consider his lack of medical treatment in making the residual functional capacity assessment (DN 13, Memorandum at Page 17). Further, Plaintiff believes the diagnoses expressed by the treating sources corroborate his disability (
Contrary to Plaintiff's assertion, the ALJ did consider Plaintiff's testimony about not having health insurance and being unable to afford ongoing medical treatment (Tr. 18, 19). The ALJ also questioned Plaintiff extensively about his treatment options and his ability to afford medications and visits to doctors (Tr. 38-40, 43-45, 51). The ALJ found the credibility of Plaintiff's testimony, about the inability to pay for medical care, was undermined by his recent chiropractic treatment which suggested some ability to seek care when Plaintiff felt it necessary (Tr. 19). Further, the ALJ believed Plaintiff's testimony was weakened by his inability to identify the cost of treatment he sought from behavioral health providers (Tr. 19). Additionally, the ALJ noted that at least one of Plaintiff's past medications was on a list of $4.00 medications at Wal-Mart, yet Plaintiff discontinued the medication for unexplained reasons (Tr. 19). Moreover, the ALJ considered more than Plaintiff's lack of treatment in formulating his residual functional capacity assessment (Tr. 20). The ALJ considered the evidence as a whole and determined that the opinions of the state agency reviewing psychologists were entitled to "great" weight because they were supported by substantial evidence (Tr. 20). These evaluating psychologists concluded that Plaintiff was capable of performing simple tasks and instructions, could persist with such tasks on a sustained basis, and had moderate limitations in his ability to interact with coworkers, supervisors, and the general public (Tr. 77-80, 92-95, 112-114, 128-130).
The undersigned has reviewed the administrative record and concludes the ALJ's findings regarding the weight accorded to the opinions of the non-examining state agency psychologists and the examining psychologist, Ms. Walpert, M.A., are supported by substantial evidence in the record and comport with applicable law.
Next, Plaintiff disagrees with Finding No. 10 (DN 13, Memorandum at Pages 18-19; DN 14, Fact and Law Summary). This finding addresses the fifth step in the sequential evaluation process.
At the fifth step, the Commissioner has the burden of demonstrating there exist a significant number of jobs in the local, regional and national economies that the claimant can perform, given his or her residual functional capacity, age, education, and past work experience. 20 C.F.R. §§ 404.1520(a)(4)(v) and (g), 416.920(a)(4)(v) and (g);
Finally, Plaintiff disagrees with Finding No. 11 (DN 14, Fact and Law Summary). The undersigned has reviewed the record and concludes that Finding No. 11 is supported by substantial evidence in the record and comports with applicable law. In sum, the Commissioner's findings are supported by substantial evidence in the administrative record and they comport with applicable law.
This is a final and appealable Order and there is no just cause for delay.