WILLIAM M. SKRETNY, District Judge.
1. Plaintiff Jennifer Graham brings this action pursuant to the Social Security Act ("the Act"), challenging the determination of the Acting Commissioner of Social Security that denied her application for disability insurance benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Act. (Docket No. 1). The Court has jurisdiction over this action under 42 U.S.C. §§ 405(g), 1383(c)(3).
2. Both parties moved for judgment on the pleadings under Rule 12(c) of the Federal Rules of Civil Procedure (Docket Nos. 6, 10), at which time this Court took the matter under advisement without oral argument. For the following reasons, Plaintiff's motion is DENIED, and Defendant's motion is GRANTED.
3. On September 27, 2013, Plaintiff protectively filed an application for DIB and SSI. (R.
4. A court reviewing a denial of disability benefits may not determine de novo whether an individual is disabled.
5. "To determine on appeal whether an ALJ's findings are supported by substantial evidence, a reviewing court considers the whole record, examining the evidence from both sides, because an analysis of the substantiality of the evidence must also include that which detracts from its weight."
6. The Commissioner has established a five-step sequential evaluation process to determine whether an individual is disabled under the Act.
7. The five-step process is as follows:
8. Although the claimant has the burden of proof on the first four steps, the Commissioner has the burden of proof on the fifth and final step.
9. The ALJ analyzed Plaintiff's claim for benefits under the process set forth above. At step one, the ALJ found that Plaintiff has not engaged in substantial gainful activity since January 6, 2012, the alleged onset date. (R. at 24). At step two, The ALJ found that Plaintiff had the following severe impairments: panic disorder; bipolar disorder; and PTSD. (R. at 24). At step three, the ALJ found that Plaintiff does not have an impairment or combination of impairments that meet or medically equal any of the impairments listed in 20 C.F.R. Part 404, Subpart P, Appendix 1. (R. at 25).
10. Next, the ALJ determined that Plaintiff retained the residual functional capacity ("RFC") to perform a full range of work at all exertional levels defined in 20 C.F.R. § 404.1567(b), but with several limitations
11. At step four, the ALJ found that Plaintiff could not perform her past relevant work. (R. at 28-29). At step five, the ALJ relied on the VE's testimony and found that given Plaintiff's age, education, work experience, and RFC Plaintiff could perform jobs that exist in significant number in the national economy. (R. at 29-30). Accordingly, the ALJ determined that Plaintiff was not under a disability as defined by the Act during the relevant period—January 6, 2012, through April 7, 2016. (R. at 30).
12. Plaintiff argues that the ALJ's determination that Plaintiff was not disabled within the meaning of the Act is not supported by substantial evidence because the ALJ inappropriately "cherry pick[ed]" evidence that supported her evaluation of Plaintiff's RFC, and "ignored [. . .] without explanation" other evidence that Plaintiff had limitations in her ability to (1) learn and perform simple tasks; (2) maintain attention and concentration for simple tasks; and (3) maintain a simple regular schedule. (Docket No. 6 at 10-17). Plaintiff further contends that if the ALJ had correctly incorporated the aforementioned additional non-exertional limitations into the RFC assessment, Plaintiff's disability claims would be supported. (Docket No. 6 at 17-18). Each argument is discussed in turn.
13. Plaintiff first argues that the ALJ's RFC determination is not supported by substantial evidence because the ALJ failed to fully incorporate the findings of a consulting psychiatrist in the assessment. An ALJ has the responsibility to determine a claimant's RFC based on all the relevant medical and other evidence in the record. 20 C.F.R. §§ 404.1527(d)(2), 404.1545(a), 404.1546(c). The claimant has the burden to demonstrate functional limitations that preclude any substantial gainful activity.
14. Here, the ALJ properly weighed the "totality of the [Plaintiff's] record" including the medical opinion of Dr. Christine Ransom, who conducted a consultative psychiatric evaluation of Plaintiff on November 8, 2013, as well as the Plaintiff's own testimony in determining Plaintiff's RFC. (R. at 26-28).
15. Dr. Ransom's notes indicate that Plaintiff, who had driven herself to the appointment, "was cooperative and socially appropriate;" presented with adequate hygiene and grooming; and "denied generalized anxiety, thought disorder, cognitive symptoms and deficits," and that Plaintiff complained of depression; mood swings; crying spells; panic attacks; nightmares and difficulty sleeping; racing thoughts and difficulty concentrating; limited social interaction; and a lack of motivation. (R. at 309-10).
16. Plaintiff's mental status examination indicated that Plaintiff's affect was "moderately dysphoric and intense," her motor behavior was lethargic, and speech was slow, but that her expressive and receptive language skills were adequate and posed no communicative difficulties. (R. at 310-11). The psychiatrist further observed that Plaintiff's thought processes were coherent and goal-directed; she was oriented to person, place and time; Plaintiff's attention and concentration were intact; immediate, recent, and remote memory were all intact; intellectual functioning appeared to be average; and insight and judgment were good. (R. at 311).
17. Dr. Ransom diagnosed Plaintiff with moderate to marked PTSD and bipolar disorder, as well as mild panic disorder, and opined that Plaintiff:
(R. at 312).
18. In terms of longitudinal history, it was noted that, prior to the alleged onset date of January 6, 2012, Plaintiff had been partially hospitalized for one month in the summer of 2010 to receive treatment for bipolar disorder and depression, and that since 2010, she had been treated at an Erie County Medical Center outpatient clinic for PTSD, bipolar disorder, and anxiety. (R. at 309). Dr. Ransom recommended continued treatment and counseling, and categorized Plaintiff's prognosis as "fair." (R. at 312). However, Plaintiff testified that she voluntarily left counseling treatment in August of 2015 (R. at 44), because "I was kind of stable, and I didn't want to go" (R. at 53), and that she had discontinued all medications (R. at 52).
19. Plaintiff claims that the ALJ ignored the portions of Dr. Ransom's opinion (cited above) that identified non-exertional functional limitations, but the ALJ not only discussed all portions of the report, finding the overall examination to be "consistent with the medical record as a whole and [Plaintiff's] lack of consistent psychiatric treatment," but also properly afforded the psychiatrist's opinion great weight. (R. at 27-28). Informed by Dr. Ransom's opinion, the ALJ found that Plaintiff has "serious non-exertional functional limitations," but that these are "not sufficient to erode the occupational base of unskilled work at all exertional levels." (R. at 28).
20. In support of this assessment, the ALJ noted that Plaintiff is only mildly restricted in activities of daily living, as indicated by her ability to maintain adequate personal hygiene and dress (R. at 205-6, 311), prepare simple meals (R. at 206), care for her pet (R. at 205), and drive independently (R. at 309). The ALJ also noted that despite moderate difficulties in social functioning, Plaintiff goes out to restaurants and the library, takes day trips with her roommate (R. at 207), and utilizes social media
21. The ALJ also discussed notes from Kaleida Health mental health clinic visits that discuss Plaintiff's efforts to find a civil service job, and note that Plaintiff "is making positive, concrete steps toward re-entering [the] work force" (R. at 285), including "ordering transcripts and librarian license," despite "feel[ing] somewhat ambivalent about taking action steps/focusing on job attainment with disability appl pending." (R. at 282). At an October 3, 2013 clinic visit, Plaintiff exhibited "normal mood, affect congruent, pleasant and cooperative," and indicated that despite reported difficulty concentrating, she had been "able to learn new elliptical machine at [her] gym," and continued to make progress with her civil service job search. (R. at 278-279). The counselor noted that:
(R. at 279).
22. Although Plaintiff testified that her civil service test results were not favorable (R. at 53-54), and that she has been unsuccessful with applications to temp agencies, which "said that [Plaintiff doesn't] have the skill set and [Plaintiff] didn't have good interviews" (R. at 41-42), Plaintiff also testified to her ability to use a computer to do paid research (R. at 42), and to care for others' children and pets (R. at 43).
23. In limiting Plaintiff, a 44-year old woman with a master's degree and past skilled work experience
24. The record is replete with indications of Plaintiff's intelligence
25. Plaintiff's remaining argument, that "if the ALJ had incorporated additional limitations into the RFC assessment, VE testimony supports a finding of disability" (Docket No. 6 at 17) misstates the scope of review of this Court, which is limited to determining whether the ALJ's decision is supported by substantial evidence. Because the ALJ's conclusions are supported by substantial evidence, this argument is moot.
26. Having reviewed the ALJ's decision in light of Plaintiff's arguments, this Court finds no error in the ALJ's determination. The decision contains an adequate discussion of the medical evidence supporting the ALJ's determination that Plaintiff was not disabled, and Plaintiff's aforementioned contentions are unavailing.
IT HEREBY IS ORDERED, that Plaintiff's Motion for Judgment on the Pleadings (Docket No. 6) is DENIED.
FURTHER, that Defendant's Motion for Judgment on the Pleadings (Docket No. 10) is GRANTED.
FURTHER, that the Clerk of Court is directed to close this case.
SO ORDERED.