PAMELA K. CHEN, District Judge.
Plaintiff Minerva Bourdier brings this action under 42 U.S.C. §§ 405(g) and 1383(c)(3), seeking judicial review of the decision made by the Commissioner of the Social Security Administration ("SSA") denying her claim for Social Security Disability Insurance Benefits ("DIB"). Before the Court are the parties' cross-motions for judgment on the pleadings. Plaintiff seeks a finding that her mental impairments are severe, and remand of this matter for further administrative proceedings. The Commissioner asks the Court to affirm the denial of Plaintiff's claim. For the reasons that follow, the Court denies Plaintiff's motion for judgment on the pleadings and grants the Commissioner's motion.
On December 22, 2015, Plaintiff filed an application for DIB, alleging disability commencing on September 4, 2015. (Administrative Transcript ("Tr."),
In evaluating disability claims, the ALJ must adhere to a five-step inquiry. The claimant bears the burden of proof in the first four steps of the inquiry; the Commissioner bears the burden in the final step. Talavera v. Astrue, 697 F.3d 145, 151 (2d Cir. 2012). First, the ALJ determines whether the claimant is currently engaged in "substantial gainful activity." 20 C.F.R. § 404.1520(a)(4)(i). If the answer is yes, the claimant is not disabled. If the answer is no, the ALJ proceeds to the second step to determine whether the claimant suffers from a severe impairment. 20 C.F.R. § 404.1520(a)(4)(ii). An impairment is severe when it "significantly limits [the claimant's] physical or mental ability to do basic work activities." 20 C.F.R. § 404.1520(c). If the impairment is not severe, then the claimant is not disabled. In this case, the ALJ found that Plaintiff suffers from the following severe impairments: "polysubstance abuse in remission, chronic obstructive pulmonary disease (COPD), DeQuervain's Tenosynovitis
(Id.) Based upon the RFC finding, the ALJ determined that Plaintiff was capable of performing her past relevant work as a bus monitor, as generally performed. (Id. at 40.) The ALJ accordingly concluded that Plaintiff was not disabled. (Id. at 40-41.)
Unsuccessful claimants for disability benefits under the Act may bring an action in federal district court seeking judicial review of the Commissioner's denial of their benefits. 42 U.S.C. § 405(g). In reviewing a final decision of the Commissioner, the Court's role is "limited to determining whether the SSA's conclusions were supported by substantial evidence in the record and were based on a correct legal standard." Talavera, 697 F.3d at 151 (internal quotation omitted). "Substantial evidence is more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Selian v. Astrue, 708 F.3d 409, 417 (2d Cir. 2013) (internal quotation and alterations omitted). In determining whether the Commissioner's findings were based upon substantial evidence, "the reviewing court is required to examine the entire record, including contradictory evidence and evidence from which conflicting inferences can be drawn." Id. (internal quotation omitted). If there is substantial evidence in the record to support the Commissioner's findings as to any fact, those findings are conclusive and must be upheld. 42 U.S.C. § 405(g); see also Cichocki v. Astrue, 729 F.3d 172, 175-76, 178 n.3 (2d Cir. 2013) (noting that "[a]n ALJ need not recite every piece of evidence that contributed to the decision, so long as the record permits [the court] to glean the rationale of an ALJ's decision" (internal quotation omitted)). Ultimately, the reviewing court "defer[s] to the Commissioner's resolution of conflicting evidence," Cage v. Comm'r of Soc. Sec., 692 F.3d 118, 122 (2d Cir. 2012), and, "[i]f evidence is susceptible to more than one rational interpretation, the Commissioner's conclusion must be upheld," McIntyre v. Colvin, 758 F.3d 146, 149 (2d Cir. 2014).
Plaintiff argues that the ALJ's RFC determination with respect to Plaintiff's mental impairments
At step two of the five-step inquiry, the ALJ determines whether a claimant has a medically severe impairment or combination of impairments that "significantly limits [her] physical or mental ability to do basic work activities." 20 C.F.R. § 404.1520(c); see also 20 C.F.R. §§ 404.1520(a)(4)(ii), 404.1521(a). A claimant's ability to do basic work activities refers to "the abilities and aptitudes necessary to do most jobs." 20 C.F.R. § 416.922(b). "The evaluation of mental impairments follows a `special technique' pursuant to 20 C.F.R. § 404.1520a." Fontanez v. Colvin, No. 16-CV-1300 (PKC), 2017 WL 4334127, at *17 (E.D.N.Y. Sept. 28, 2017) (quoting Kohler v. Astrue, 546 F.3d 260, 265 (2d Cir. 2008)). This technique requires that the ALJ "rate the degree of a claimant's functional limitation resulting from the impairment(s) in. . . four broad functional areas: (1) activities of daily living; (2) social functioning; (3) concentration, persistence or pace; and (4) episodes of decompensation." Id. (quoting Hernandez v. Astrue, 814 F.Supp.2d 168, 180-81 (E.D.N.Y. 2011)); see also 20 C.F.R. §§ 404.1520a(b)-(c), 416.920a(b)-(c); 20 C.F.R. pt. 404, subpt. P, app. 1 § 12.00(A)(2)(b). "[I]f the degree of limitation in each of the first three areas is rated `mild' or better, and no episodes of decompensation are identified, then the reviewing authority generally will conclude that the claimant's mental impairment is not `severe'. . . ." Kohler, 546 F.3d at 266. The ALJ "must" incorporate findings with respect to each function area in his decision regarding mental impairments. 20 C.F.R. § 404.1520a(e)(4).
The severity assessment at the second step is a threshold matter limited to screening out de minimis claims. See Parker-Grose v. Astrue, 462 F. App'x 16, 17 (2d Cir. 2012) (summary order) (citing Dixon v. Shalala, 54 F.3d 1019, 1030 (2d Cir. 1995)). As such, "[a] finding of `not severe' should be made if the medical evidence establishes only a `slight abnormality' which would have `no more than a minimal effect on an individual's ability to work.'" Mezzacappa v. Astrue, 749 F.Supp.2d 192, 205 (S.D.N.Y. 2010) (quoting Rosario v. Apfel, No. 97-CV-5759 (EHN), 1999 WL 294727, at *5 (E.D.N.Y. Mar. 19, 1999)). An ALJ's erroneous finding that an impairment is "not severe" is not necessarily fatal error, for "[w]here an ALJ excludes certain impairments from the list of severe impairments at the second step, any such error is harmless where the ALJ identifies other severe impairments such that the analysis proceeds and the ALJ considers the effects of the omitted impairments during subsequent steps." Calixte v. Colvin, No. 14-CV-5654 (MKB), 2016 WL 1306533, at *23 (E.D.N.Y. Mar. 31, 2016) (collecting cases); compare O'Connell v. Colvin, 558 F. App'x 63, 65 (2d Cir. 2014) (summary order) (finding only harmless error where ALJ determined that claimant's knee injury was a non-severe impairment and, upon identifying other severe impairments, considered the knee injury in subsequent steps), with Parker-Grose, 462 F. App'x at 18 (finding harmful error where ALJ determined that plaintiff's depression was non-severe and did not consider it in subsequent steps).
Here, at step two, the ALJ concluded that "[t]he claimant's medically determinable mental impairments of depression and anxiety, considered singly and in combination, do not cause more than minimal limitation in the claimant's ability to perform basic mental work activities and are therefore nonsevere." (Tr. at 34.) In arriving at this conclusion, the ALJ properly considered the requisite "four broad areas of mental functioning" by examining Plaintiff's 2016 Function Report, psychiatry records, and records from Plaintiff's treating social worker. (Id.) The ALJ then considered Plaintiff's mental impairments and the evidence thereof again, as part of the RFC determination. (See id. at 35-36, 38-39.) Accordingly, the Court finds that the ALJ's conclusion that Plaintiff's mental impairments did not meet the requisite de minimis level of severity, even if erroneous, was harmless because the ALJ considered Plaintiff's mental impairments as part of the RFC determination.
Plaintiff argues that the ALJ's RFC determination was not supported by substantial evidence because the ALJ improperly afforded "little weight" to the opinions of Plaintiff's consultative examiner and treating therapist, and did not adequately explain the weight that he afforded to the opinion of the state agency consultant. (Pl.'s Mot., Dkt. 13, at 14-15.) The Court considers each of these medical opinions in turn.
Plaintiff first argues that the ALJ improperly assigned "little weight" to the opinion of her consultative examiner, Johanina McCormick, Ph.D. (Id. at 14.) In support of this argument, Plaintiff points to Dr. McCormick's observations that Plaintiff had "just started outpatient treatment for anxiety" (Tr. at 368), had a "dysphoric" affect (id. at 369), "fair" insight, and "poor" judgment (id. at 370). Plaintiff also highlights that Dr. McCormick deemed Plaintiff "moderately impaired" in both "maintaining a regular schedule" and "in performing complex tasks independently." (Id.)
The ALJ explained that he assigned little weight to the opinion of Dr. McCormick because it was "given after a one-time examination without benefit of the entirety of the medical evidence." (Id. at 38; see also id. at 371 (noting that appointment was for a consultative examination).) This rationale is in keeping with Second Circuit case law, as "ALJs should not rely heavily on the findings of consultative physicians after a single examination." Selian, 708 F.3d at 419; see also Murphy v. Saul, No. 17-CV-1757 (PKC), 2019 WL 4752343, at *3 (E.D.N.Y. Sept. 30, 2019) ("[C]onsultative exams are often brief, are generally performed without benefit or review of claimant's medical history and, at best, only give a glimpse of the claimant on a single day." (quoting Cruz v. Sullivan, 912 F.2d 8, 13 (2d Cir. 1990))).
Thus, regardless of the extent to which Dr. McCormick's opinion supported the ALJ's RFC determination,
Plaintiff next argues that the ALJ improperly assigned "little weight" to the opinion of her treating social worker, LMSW Laura Pearl, in violation of the treating physician rule. (Pl.'s Mot., Dkt. 13, at 14.)
"With respect to the nature and severity of a claimant's impairments, the SSA recognizes a treating physician rule
In making his RFC determination, the ALJ discussed LMSW Pearl's opinion, noted that Pearl was "not an acceptable medical source," and concluded that her opinion was "inconsistent with the record" as well as with "her own treatment notes." (Tr. at 39.) As an initial matter, the Court notes that the ALJ was correct in finding that LMSW Pearl was not an acceptable medical source. See SSR 06-03p, 2006 WL 2329939, at *2 (Aug. 9, 2006) (including "licensed clinical social workers" in list of "[m]edical sources who are not `acceptable medical sources'"). The opinions of non-acceptable medical sources are not eligible for "controlling weight," although they may still be given some weight according to the factors outlined in 20 C.F.R. § 404.1527(c). See Monette v. Colvin, 654 F. App'x 516, 518 (2d Cir. 2016) (summary order) (citing 20 C.F.R. §§ 404.1513(a), (d)(1); §§ 404.1527(a)(2), (c); SSR 06-03p, 2006 WL 2329939, at *4-5).
The ALJ also correctly found that LMSW Pearl's opinion—that Plaintiff suffered from a "moderate limitation" with respect to social functioning—was inconsistent with both LMSW Pearl's own treatment notes and the record. The administrative record contains two sets of LMSW Pearl's treatment notes.
In assigning her opinion "little weight," the ALJ concluded that LMSW Pearl's finding of "moderate" limitation with regard to Plaintiff's social functioning
In making his RFC determination, the ALJ also noted that he gave "greater weight to the opinion of the State agency psychological consultant who had more of the file to examine [than did Dr. McCormick, Plaintiff's consultative examiner,] as it is more consistent with the evidence showing mild limitations." (Id. at 38.) The state agency psychological consultant
Plaintiff's self-reported activities of daily functioning further bolster the ALJ's conclusion as to the severity of her mental impairments. In her testimony at the March 2018 hearing, Plaintiff commented very little on her mental impairments, stating only that she did not really need to see a psychiatrist,
A review of the entire record with regard to Plaintiff's mental impairments demonstrates that the limitations discussed in her RFC are supported by substantial evidence, which suggests that Plaintiff's mental impairments were correctly determined to be non-severe. Indeed, "the `mere presence of a disease or impairment, or establishing that a person has been diagnosed or treated for a disease or impairment' is not, by itself, sufficient to render a condition `severe.'" Taylor v. Astrue, 32 F.Supp.3d 253, 265 (N.D.N.Y. 2012) (quoting Coleman v. Shalala, 895 F.Supp. 50, 53 (S.D.N.Y. 1995)). Here, the Commissioner examined all of the record evidence pertaining to Plaintiff's mental impairments and correctly weighed the opinions before him according to the applicable legal standards. Furthermore, the Commissioner properly documented his consideration of the evidence relevant to Plaintiff's mental impairments both at step two and during the RFC determination. Given the "very deferential standard" of substantial evidence review, Brown v. Colvin, 73 F.Supp.3d 193, 198 (S.D.N.Y. 2014) (internal quotation omitted), the Court concludes that the ALJ did not err in his finding that Plaintiff's mental impairments were not severe.
For the reasons set forth above, the Court denies Plaintiff's motion for judgment on the pleadings and grants the Commissioner's cross-motion in its entirety. The Clerk of Court is respectfully requested to enter judgment and close this case.
SO ORDERED.
42. U.S.C. § 405(g). "Under the applicable regulations, the mailing of the final decision is presumed received five days after it is dated unless the claimant makes a reasonable showing to the contrary." Kesoglides v. Comm'r of Soc. Sec., No. 13-CV-4724 (PKC), 2015 WL 1439862, at *3 (E.D.N.Y. Mar. 27, 2015) (citing 20 C.F.R. §§ 404.981, 422.210(c)). Applying this standard, the Court determines that Plaintiff received the Commissioner's final decision on November 18, 2018, and Plaintiff filed the instant action on January 10, 2019-53 days later. (See generally Complaint, Dkt. 1.)
20 C.F.R. § 404.1567(b).