NOEL L. HILLMAN, District Judge.
This matter comes before the Court pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C. § 405(g), to review the final decision of the Commissioner of the Social Security Administration, denying the application of Plaintiff for Disability Insurance Benefits and Supplemental Security Income ("Social Security benefits") under Title II and Title XVI of the Social Security Act. 42 U.S.C. § 401, et seq. The issue before the Court is whether the Administrative Law Judge ("ALJ") erred in finding that there was "substantial evidence" that Plaintiff was not disabled at any time since his April 21, 2006 application for benefits for the alleged onset of disability of March 23, 2006. For the reasons stated below, this Court will affirm the ALJ's decision.
Plaintiff was born on March 21, 1975, and he suffers from epilepsy, generalized anxiety disorder, and panic attacks. He previously worked in 2008 and 2009 at a supermarket stocking shelves.
After a hearing before an ALJ on September 8, 2008, it was determined that Plaintiff was not disabled. Plaintiff appealed the decision, and the Appeals Council denied review rendering the ALJ's decision final. Plaintiff sought this Court's review, but while his case was pending, the parties entered in a consent order on June 4, 2010 remanding the case for a rehearing, which was held on August 23, 2011. After that hearing, on November 7, 2011, the ALJ again determined that Plaintiff was not disabled. A request for review by the Appeals Council was denied. Plaintiff now seeks this Court's review of the November 7, 2011 decision.
Under 42 U.S.C. § 405(g), Congress provided for judicial review of the Commissioner's decision to deny a complainant's application for Disability Insurance Benefits.
A reviewing court has a duty to review the evidence in its totality.
The Commissioner "must adequately explain in the record his reasons for rejecting or discrediting competent evidence."
The Third Circuit has held that access to the Commissioner's reasoning is essential to a meaningful court review:
The Social Security Act defines "disability" for purposes of an entitlement to a period of disability and disability insurance benefits 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.
The Commissioner has promulgated regulations for determining disability that require application of a five-step sequential analysis.
20 C.F.R. § 404.1520(b)-(f). Entitlement to benefits is therefore dependent upon a finding that the claimant is incapable of performing work in the national economy.
This five-step process involves a shifting burden of proof.
In this case, the ALJ found that Plaintiff has not engaged in substantial gainful activity since the alleged onset of disability (Step One). The ALJ next found that Plaintiff's epilepsy was severe, but he did not find that his anxiety and panic disorder were severe (Step Two). The ALJ then found that Plaintiff's impairments did not meet the medical equivalence criteria (Step Three). At Step Four, the ALJ found that even though Plaintiff was not capable of performing his previous job as a carpenter,
Plaintiff presents several arguments for review, including that the ALJ erred at Step Two by not considering his panic disorder and generalized anxiety order to be "severe," that the ALJ improperly discounted Plaintiff's testimony of his symptom-related limitations, and that the ALJ erred at Step Five by not consulting a vocational expert. The Court finds that the ALJ provides a meaningful explanation of his decision, including his determination about the severity of Plaintiff's conditions, Plaintiff's credibility, Plaintiff's residual functional capacity to perform work, and Plaintiff's ability to perform unskilled work. The Court will therefore affirm the ALJ's decision.
First, with regard to Plaintiff's argument that the ALJ improperly determined that Plaintiff's panic and anxiety disorders were not severe, the Court disagrees. As explained by the ALJ, in order to find that a mental disorder is "severe" under the Regulations, the ALJ must consider four functional areas: (1) daily living, (2) social functioning, (3) concentration, persistence or pace, and (4) episodes of decompensation. The ALJ noted that Plaintiff had mild to no limitations in all four areas: Plaintiff could properly groom himself, he had normal social interactions, he had a friendly demeanor, even though he had a mild limitation in following complex commands, his speech was intact and he watched television and enjoyed being on the computer, he had not experienced episodes of decompensation that had been of extended duration, and he had never received specialized psychological treatment or therapy. Based on these findings that Plaintiff experienced no more than mild limitations from his claimed panic and anxiety disorders, the ALJ found that they were "non-severe." ®. at 287, citing 20 C.F.R. §§ 404.1520(a)(d)(1) and 416.920(a)(d)(1).)
Even if the Court were to credit Plaintiff's argument that the Step Two analysis should be applied to simply weed out de minimus claims and not discount significant disabilities, and that Plaintiff's panic and anxiety disorders should be considered "severe" under the Step Two framework,
In the ALJ's Step Four analysis, which is the next step after the Step Three finding that Plaintiff's disorders did not meet a listed impairment — a finding which Plaintiff does not contest — the ALJ first discusses Plaintiff's seizure disorder. He cites Plaintiff's medical history, including noting that from 2006 through September 2010, Plaintiff experienced a total of three seizures, and that for one year he had been off his medication and experienced one seizure and increasing panic-like attacks. The ALJ ultimately notes that in March 2010 Plaintiff's neurologist, Dr. Tracy Wang, conducted an extensive EEG work-up for seizures in adult life, and the findings were within normal limits. Plaintiff's neurologist also found that his seizures were kept under control with medication.
Despite finding that Plaintiff's panic and anxiety disorders were not "severe" in Step Two, the remainder of the ALJ's extensive Step Four analysis of Plaintiff's functional capacity mostly relates to his mental condition, rather than his epilepsy, as his functional capacity is relatively unaffected by his seizure disorder.
The ALJ then gives "great weight" to Plaintiff's treating family physician, Dr. Brattelli, whom Plaintiff last saw on April 11, 2011. Dr. Brattelli diagnosed Plaintiff with generalized convulsive epilepsy, he prescribed a drug regimen to control his epilepsy, he noted that Plaintiff's compliance with his medications had been good, and he stated that Plaintiff's appearance was wellappearing, well-nourished, and in no acute distress. ®. at 290.)
Dr. Brattelli also completed a medical source statement of Plaintiff's ability to perform work-related physical activities. He found that Plaintiff could sit, stand and walk without hourly limitation, he could continuously lift up to 100 pounds, he could use his hands for grasping, pushing and pulling, and fine manipulating, and he could bend, stoop, squat, crawl, and reach. Dr. Brattelli noted, however, that Plaintiff could not climb or work on unprotected heights, and that he had a mild restriction around moving machinery and automotive equipment. He had no restriction regarding exposure to dust, fumes and gases. ®. at 290.) As noted above, Dr. Brattelli diagnosed Plaintiff with generalized epilepsy with a past history of panic attacks, but he did not provide a current diagnosis of panic attacks or generalized anxiety disorder. ®. at 291.)
In his decision, the ALJ also gives extensive consideration to Plaintiff's treating neurologist, Dr. Wang. As also noted above, the results of Plaintiff's extensive EEG work-up for seizures were within normal limits, and that any seizures were kept under control with medication. Dr. Wang's report also revealed that no objective medical evidence connected his seizure disorder with his panic attacks. ®. at 290.)
The ALJ further considered the report of state consultative physician, Dr. Lewis Lazarus, who conducted an evaluation of Plaintiff on May 15, 2011. Dr. Lazarus diagnosed Plaintiff with panic disorder without agoraphobia and generalized anxiety disorder. He also assessed Plaintiff's ability to do work-related activities, and although Plaintiff was mildly limited in his ability to respond appropriately to usual work situations and to changes in a routine work setting, Plaintiff was not limited in his abilities to carry out simple instructions. The ALJ gave this opinion "great weight," as the ALJ found it consistent with the medical evidence. ®. at 292.)
Plaintiff complains that the ALJ did not consider the full opinion of the state consultative physician, Dr. Kenneth Goldberg, who issued a report on March 8, 2007. Plaintiff points out that the ALJ did not mention in his decision that Dr. Goldberg reported that Plaintiff had difficulty remembering details, had a histrionic quality to his speech, and had a disorientated thought process and impaired persistence. The ALJ did, however, review Dr. Goldberg's report, and noted the inconsistencies of statements Plaintiff made to Dr. Goldberg (that Plaintiff recently—in March 2007—had a panic attack in the bathtub so he would now only take showers, not baths), with the reports of Plaintiff's fiancée (who noted that prior to March 2007, Plaintiff only took showers), and the August 2011 hearing, where Plaintiff said he took baths because of panic attacks in the showers. ®. at 291.)
Even if the ALJ did not specifically consider the points in Dr. Goldberg's March 2007 report that Plaintiff argues the ALJ overlooked,
With regard to the ALJ's determination of Plaintiff's credibility, in addition to the inconsistencies in Plaintiff's testimony at the hearing and what he told Dr. Goldberg, the ALJ also observed that Plaintiff testified that fumes at his work site caused him bad reactions, panic attacks and profuse sweating, but he did not report such problems to Dr. Brattelli, who did not place any restrictions as to Plaintiff's ability to work around fumes or gasses. ®. at 291.)
The ALJ also noted that Plaintiff reported to Dr. Wang that he had stopped working after having a seizure in April 2006 and having increased frequency of panic attacks, but that Plaintiff's earning records do not corroborate this statement. ®. at 291.) When questioned at the hearing about his work history, Plaintiff testified that he could not remember why he had no earnings in 2003, 2005, or 2006, and that he could not answer questions about why he was not working without prior knowledge of the question. The ALJ concluded that this response, "does not show a willingness to provide spontaneous, truthful responses before the hearing officer."
After recounting throughout his decision other testimony of Plaintiff, including his lack of professional treatment for his panic and anxiety disorders, the ALJ concluded, "[T]he claimant has not been wholly credible regarding the extent of his limitations, and that his panic attacks and anxiety problems have been exaggerated." (
Finally, with regard to the ALJ's determination of Plaintiff's RFC and the finding that Plaintiff is capable of performing unskilled jobs, the Court finds that substantial evidence supports his findings. As for Plaintiff's RFC, the ALJ determined that Plaintiff had the RFC to perform work at all levels of exertion; however, he could never climb ladders, ropes or scaffolds, and could not work on unprotected heights or near moving machinery. ®. at 292.) The ALJ found that Plaintiff had the ability to understand, remember and carry out simple job instructions and work rules, could respond appropriately to supervision, coworkers and usual work situations, he could concentrate, maintain persistence and pace, and he could adapt to routine changes in the work settings. (
This RFC assessment is the sole province of the ALJ, and cannot be made by any treating doctors. 20 C.F.R. § 404.1527(e) (explaining that the issue of the RFC assessment is reserved for the Commissioner and a physician's opinion thereon is not entitled to any special significance). Nonetheless, no physician in the record concluded that Plaintiff was incapable of working, and none precluded him from performing unskilled work. Thus, the Court cannot find that the ALJ erred in the RFC assessment.
With regard to the ALJ's analysis of Plaintiff's ability to perform work, most of Plaintiff's challenges to the ALJ's decision are based on Plaintiff's subjective testimony regarding his limitations, and the Court has already determined that the ALJ properly considered the credibility of Plaintiff's testimony. The remainder of his objections is based on medical evidence pointing to Plaintiff's GAF ("Global Assessment of Functioning") scores assessed by Dr. Goldberg and Dr. Bogacki. Plaintiff claims that these GAF scores require a finding of moderate, rather than mild or no, limitations in the work function analysis. As discussed above, these GAF scores by the state consultants in 2007 and 2008 are outweighed by other medical evidence and testimony.
Finally, Plaintiff contests the propriety of the ALJ's Step Five analysis, which comprises the Commissioner's burden of considering Plaintiff's age, education, and past work experience to determine whether or not he is capable of performing other work which exists in the national economy. The ALJ found that Plaintiff was a younger individual (born in 1975 and age 31 at the time of his application for benefits), and that because Plaintiff has only nonexertional limitations,
Plaintiff argues that the ALJ should have considered a vocational expert or provided examples of specific unskilled jobs that Plaintiff was capable of, so that Plaintiff could have the opportunity to rebut the ALJ's proofs. In this situation, however, the ALJ was permitted by the Rules to make his Step Five evaluation has he did.
The Regulations explain, "Work exists in the national economy when there is a significant number of jobs (in one or more occupations) having requirements which you are able to meet with your physical or mental abilities and vocational qualifications." 20 C.F.R. § 404.1566(b). In making that determination, an ALJ is required to take notice of reliable job information available from various governmental and other publications, such as the Dictionary of Occupational Titles, County Business Patterns, Census Reports, Occupational Analyses, and Occupational Outlook Handbook.
Thus, even though the ALJ could have provided specific examples of unskilled jobs available in the national and local economies, and he could have utilized a vocational expert to pinpoint those jobs based on Plaintiff's limitations as found by the ALJ (for example, unskilled jobs that do not require heights or use of machinery), the ALJ was not required to do so.
Overall, even considering Plaintiff's panic and anxiety disorders to be "severe," substantial evidence supports the ALJ's determination that those disorders, singly or in combination with his seizure disorder, do not restrict Plaintiff's residual functional capacity to perform unskilled work, which he determined properly in his Steps Four and Five analyses. Therefore, the Court will affirm the ALJ's decision.
For the reasons expressed above, the Court finds that the ALJ's decision is supported by substantial evidence. Accordingly, the decision of the ALJ is affirmed. An accompanying Order will be issued.