LAURA FASHING, Magistrate Judge.
THIS MATTER comes before the Court on plaintiff Jetto Dorsainville's Motion to Reverse and Remand for a Rehearing (Doc. 18), which was fully briefed on May 31, 2017. Docs. 22, 23, 24. The parties consented to my entering final judgment in this case. Docs. 4, 6, 7. Having meticulously reviewed the entire record and being fully advised in the premises, the Court finds that the Administrative Law Judge ("ALJ") failed to apply the correct legal standards in weighing the opinion of non-examining state agency psychiatric consultant Dr. Scott Walker. The Court therefore GRANTS Mr. Dorsainville's motion and remands this case to the Commissioner for proceedings consistent with this opinion.
The standard of review in a Social Security appeal is whether the Commissioner's final decision
"Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Langley, 373 F.3d at 1118. A decision "is not based on substantial evidence if it is overwhelmed by other evidence in the record or if there is a mere scintilla of evidence supporting it." Id. While the Court may not reweigh the evidence or try the issues de novo, its examination of the record as a whole must include "anything that may undercut or detract from the ALJ's findings in order to determine if the substantiality test has been met." Grogan v. Barnhart, 399 F.3d 1257, 1262 (10th Cir. 2005). "`The possibility of drawing two inconsistent conclusions from the evidence does not prevent [the] findings from being supported by substantial evidence.'" Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007) (quoting Zoltanski v. F.A.A., 372 F.3d 1195, 1200 (10th Cir. 2004)).
To qualify for disability benefits, a claimant must establish that he or she is unable "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. § 423(d)(1)(A); 20 C.F.R. § 404.1505(a).
When considering a disability application, the Commissioner is required to use a five-step sequential evaluation process. 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140 (1987). At the first four steps of the evaluation process, the claimant must show: (1) the claimant is not engaged in "substantial gainful activity;" (2) the claimant has a "severe medically determinable . . . impairment . . . or a combination of impairments" that has lasted or is expected to last for at least one year; and (3) the impairment(s) either meet or equal one of the Listings
Mr. Dorsainville, currently age 35, graduated high school, and served in the United States Air Force for fifteen years. AR 151, 195.
The ALJ found that Mr. Dorsainville was insured for disability benefits through March 31, 2019. AR 22. At step one, the ALJ found that Mr. Bennett had not engaged in substantial, gainful activity since August 11, 2014. Id. Because Mr. Dorsainville had not engaged in substantial gainful activity for at least twelve months, the ALJ proceeded to step two. Id. At step two, the ALJ found that Mr. Dorsainville had the following severe impairments: "asthma; sleep apnea; mild degenerative lumbar disc disease; hypertension; post-traumatic stress disorder (PTSD); and alcohol abuse addiction disorder." Id. At step three, the ALJ found that none of Mr. Dorsainville's impairments, alone or in combination, met or medically equaled a Listing. AR 22-24. Because the ALJ found that none of the impairments met a Listing, the ALJ assessed Mr. Dorsainville's RFC. AR 24-30. The ALJ found that:
AR 24.
At step four, the ALJ concluded that Mr. Dorsainville was unable to perform his past relevant work as a program manager. AR 30. The ALJ found Mr. Dorsainville was not disabled at step five, concluding that he still could perform jobs that exist in significant numbers in the national economy—such as administrative clerk and general clerk. AR 31.
Mr. Dorsainville requested review by the Appeals Council, and submitted additional evidence. AR 5, 14-15. The Appeals Council made the additional evidence part of the record, but, on April 23, 2016, denied the request for review. AR 1-5. Mr. Dorsainville timely filed his appeal to this Court on June 24, 2016.
Ms. Dorsainville raises two arguments for reversing and remanding this case: (1) the ALJ impermissibly picked and chose from the limitations noted in the opinion of non-examining state agency consultant Dr. Scott Walker, and (2) the Appeals Council failed to analyze the opinion of treating psychologist Dr. James Gillies, which undercuts the ALJ's RFC findings. Because the Court remands based on the ALJ's failure to properly analyze the opinion of Dr. Walker, the Court does not address the other alleged error, which "may be affected by the ALJ's treatment of this case on remand." Watkins v. Barnhart, 350 F.3d 1297, 1299 (10th Cir. 2003).
Although an ALJ need not discuss every piece of evidence, the ALJ must discuss the weight assigned to each medical source opinion. Keyes-Zachary v. Astrue, 695 F.3d 1156, 1161 (10th Cir. 2012) (citing 20 C.F.R. §§ 404.1527(e)(2)(ii), 416.927(e)(2)(ii)). Specifically, when assessing a plaintiff's RFC, an ALJ must explain what weight is assigned to each opinion and why. SSR 96-5p, 1996 WL 374183, at *5 (July 2, 1996).
In 2007, the Tenth Circuit Court of Appeals decided two cases that control here. First, in Haga, the court held that an ALJ erred in failing to explain why he adopted some of a consultative examiner's ("CE") restrictions but rejected others. 482 F.3d at 1208. "[T]he ALJ did not state that any evidence conflicted with [the CE's] opinion or mental RFC assessment. So it is simply unexplained why the ALJ adopted some of [the CE's] restrictions but not others." Id. The court remanded the case "so that the ALJ [could] explain the evidentiary support for his RFC determination." Id. Later in 2007, in Frantz v. Astrue, 509 F.3d 1299, 1302-03 (10th Cir. 2007), the Tenth Circuit expressly applied Haga and its reasoning to the opinions of non-examining physicians.
Mr. Dorsainville argues that the ALJ failed to account for the moderate limitation in his ability "to accept instructions and respond appropriately to criticism from supervisors" noted in Dr. Walker's Mental Residual Functional Capacity Assessment ("MRFCA"). Doc. 18 at 11. He argues that, by adopting some of the moderate limitations in Dr. Walker's opinion, while rejecting others without explanation, the ALJ "pick[ed] and chose" limitations in violation of Haga. Id. The Commissioner responds that the ALJ adequately considered Dr. Walker's Section III findings, and was not required to discuss Dr. Walker's Section I findings. Doc. 22 at 7-8 (citing Carver v. Colvin, 600 F. App'x 616, 619 (10th Cir. 2015) (unpublished) and POMS DI 25020.010 B.1.). The Court finds the Commissioner's arguments unpersuasive, and agrees with Mr. Dorsainville that the ALJ was required to either include, or to explain her reasons for rejecting, the moderate limitations noted in Section I of Dr. Walker's opinion.
An ALJ is required to consider and discuss both Section I and Section III findings. As the Honorable Stephan M. Vidmar thoroughly explained in his opinion rejecting arguments that an ALJ is not required to consider Section I findings, the Program Operations Manual System ("POMS"),
In Section I of his January 5, 2015 MRFCA, Dr. Walker found that Ms. Bennett had the following social interaction limitations:
AR 76.
In Section III of his MRFCA, Dr. Walker found that:
AR 77.
In discussing Dr. Walker's opinion, the ALJ only listed his Section III findings. AR 27. The ALJ gave "great weight" to Dr. Walker's opinion, because it was "consistent with the record as a whole, including the objective clinical findings, the claimant's inconsistent mental health treatment, his own statements, and his daily activities." Id. However, the ALJ's RFC accounts for only two of the moderate social interaction limitations noted in Dr. Walker's opinion: (1) the moderate limitation in his ability to interact appropriately with the
The Commissioner attempts to explain the ALJ's failure to include the moderate limitation regarding supervisors from Section I of the MRFCA by arguing that Dr. Walker was "equivocal in [his] narrative explanations pertaining to social interaction." Doc. 22 at 8. The Commissioner seems to argue that the ALJ intentionally omitted the limitation because of the equivocal Section III language. A closer look at the ALJ's opinion does not support this hypothesis. In Section I, Dr. Walker found that Mr. Dorsainville had a "moderate limitation" in his ability "to accept instructions and respond appropriately to criticism from supervisors." AR 76. In Section III, Dr. Walker found that Mr. Dorsainville "
The Commissioner argues that the ALJ adequately considered Mr. Dorsainville's ability to interact with supervisors. The Commissioner points out that the ALJ noted that Mr. Dorsainville "testified that he had conflicts with others and did not take orders on the job, but in his December 2014 `function report,' he acknowledged that he got along `ok' with authority figures." Doc. 22 at 8. The conclusion the Commissioner draws from this—that "the ALJ adequately accounted for Plaintiff's work-related social limitations by limiting him to occasional interaction with the public and coworkers"—however, is a non-sequitur. The ALJ quoted Mr. Dorsainville's function report, in which he admitted he gets along "ok" with authority figures in her Step 2 discussion of Mr. Dorsainville's social functioning.
The ALJ failed to either adopt or explain her reasons for rejecting a moderate limitation. A claimant's ability to interact with supervisors is a work-related mental ability that is critical to all work, and the ALJ must adequately address it in the RFC.
The ALJ erred in failing to incorporate or explain why she rejected the moderate limitation in Mr. Dorsainville's ability to interact with supervisors. The Court remands so that the ALJ can explain the evidentiary basis for her RFC determination.
20 C.F.R. §§ 404.1545(c), 416.945(c); see also SSR 96-8p, 1996 WL 374184, at *6 ("Work-related mental activities generally required by competitive, remunerative work include the abilities to: understand, carry out, and remember instructions; use judgment in making work-related decisions; respond appropriately to supervision, co-workers and work situations; and deal with changes in a routine work setting."). In formulating the RFC, an ALJ must perform a function-by-function assessment of these work-related functions, considering all of the relevant evidence in the case record. SSR 96-8p, 1996 WL 374184, at *2. The Tenth Circuit has held that where a claimant is found to have more than mild mental limitations in work-related functions, the ALJ must "express those impairments `in terms of work-related functions' or `[w]ork-related mental activities.'" Jaramillo v. Colvin, 576 F. App'x 870, 876 (10th Cir. 2004) (unpublished) (quoting SSR 96-8p, 1996 WL 374184, at *6).