GREG WHITE, District Judge.
Plaintiff Pamela T. Freeman ("Freeman") challenges the final decision of the Commissioner of Social Security ("Commissioner"), denying Freeman's claim for a Period of Disability ("POD"), Disability Insurance Benefits ("DIB"), Widow's Insurance Benefits ("WIB"), and Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act ("Act"), 42 U.S.C. §§ 416(i), 423, 1381 et seq. This matter is before the Court pursuant to 42 U.S.C. § 405(g) and the consent of the parties entered under the authority of 28 U.S.C. § 636(c)(2).
For the reasons set forth below, the final decision of the Commissioner is VACATED and the case is REMANDED for further proceedings consistent with this opinion.
On November 19, 2008, Freeman filed an application for POD, DIB, WIB, and SSI alleging a disability onset date of April 15, 2007. Her application was denied both initially and upon reconsideration. Freeman timely requested an administrative hearing.
On April 19, 2011, an Administrative Law Judge ("ALJ") held a hearing during which Freeman, represented by counsel, and an impartial vocational expert ("VE") testified. On May 26, 2012, the ALJ found Freeman was able to perform a significant number of jobs in the national economy and, therefore, was not disabled. (Tr. 36-37.) The ALJ's decision became final when the Appeals Council denied further review.
Age fifty-four at the time of her administrative hearing, Freeman is a "person closely approaching advanced age" under social security regulations. See 20 C.F.R. §§ 404.1563(d) & 416.963(d). Freeman has at least a high school education and past relevant work as an assembler of small productions and as a collections clerk. (ECF No. 36.)
In order to establish entitlement to DIB under the Act, a claimant must be insured at the time of disability and must prove an inability to engage "in substantial gainful activity by reason of any medically determinable physical or mental impairment," or combination of impairments, that 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." 20 C.F.R. §§ 404.130, 404.315 and 404.1505(a).
A claimant is entitled to a POD only if: (1) she had a disability; (2) she was insured when she became disabled; and (3) she filed while she was disabled or within twelve months of the date the disability ended. 42 U.S.C. § 416(i)(2)(E); 20 C.F.R. § 404.320.
Freeman was insured on her alleged disability onset date, April 15, 2007, and remained insured through the date of the ALJ's decision, May 26, 2011. (Tr. 30.) Therefore, in order to be entitled to POD and DIB, Freeman must establish a continuous twelve month period of disability commencing between these dates. Any discontinuity in the twelve month period precludes an entitlement to benefits. See Mullis v. Bowen, 861 F.2d 991, 994 (6
Pursuant to 42 U.S.C. § 402(e), a widow may qualify for disability benefits if (1) she is the widow of a wage earner who died fully insured, (2) she is between the ages of fifty and sixty, (3) she is disabled, and (4) her disability is expected to result in death or to last for a continuous period of not less than twelve months. See, e.g., Price v. Heckler, 767 F.2d 281, 282 (6
A disabled claimant may also be entitled to receive SSI benefits. 20 C.F.R. § 416.905; Kirk v. Sec'y of Health & Human Servs., 667 F.2d 524 (6
The ALJ found Freeman established medically determinable, severe impairments, due to "an affective disorder, an anxiety disorder, polysubstance dependence, chronic obstructive pulmonary disease, hypertension, and status-post left ankle fracture." (Tr. 31.) However, her impairments, either singularly or in combination, did not meet or equal one listed in 20 C.F.R. Pt. 404, Subpt. P, App. 1. (Tr. 32.) Freeman was found incapable of performing her past relevant work, but was determined to have a Residual Functional Capacity ("RFC") for a limited range of medium work. (Tr.33-36.) The ALJ then used the Medical Vocational Guidelines ("the grid") as a framework and VE testimony to determine that Freeman was not disabled. (Tr. 36-37.)
This Court's review is limited to determining whether there is substantial evidence in the record to support the ALJ's findings of fact and whether the correct legal standards were applied. See Elam v. Comm'r of Soc. Sec., 348 F.3d 124, 125 (6
The findings of the Commissioner are not subject to reversal merely because there exists in the record substantial evidence to support a different conclusion. Buxton v. Halter, 246 F.3d 762, 772-3 (6
In addition to considering whether the Commissioner's decision was supported by substantial evidence, the Court must determine whether proper legal standards were applied. Failure of the Commissioner to apply the correct legal standards as promulgated by the regulations is grounds for reversal. See, e.g.,White v. Comm'r of Soc. Sec., 572 F.3d 272, 281 (6
Finally, a district court cannot uphold an ALJ's decision, even if there "is enough evidence in the record to support the decision, [where] the reasons given by the trier of fact do not build an accurate and logical bridge between the evidence and the result." Fleischer v. Astrue, 774 F.Supp.2d 875, 877 (N.D. Ohio 2011) (quoting Sarchet v. Chater, 78 F.3d 305, 307 (7
Freeman asserts that the ALJ erred by assigning great weight to the opinions of State Agency medical consultants while assigning only little weight to the opinions of two treating psychiatrists — Ronald Lee, M.D., and Kirk Carruthers, M.D. (ECF No. 15 at 7-14.)
Under Social Security regulations, the opinion of a treating physician is entitled to controlling weight if such opinion (1) "is well-supported by medically acceptable clinical and laboratory diagnostic techniques" and (2) "is not inconsistent with the other substantial evidence in [the] case record." Meece v. Barnhart, 192 F. App'x 456, 560 (6
On October 7, 2009, Dr. Carruthers
On February 23, 2011, Dr. Lee completed a medical source statement wherein he stated that Freeman has poor ability to maintain attention and concentration for extended periods of 2 hour segments, to respond appropriately to changes in routine settings, to deal with the public, to function independently without supervision, to work in coordination with or proximity to others without being unduly distracted or distracting, to deal with work stresses, to complete a normal workday and work week without interruption from psychologically based symptoms, to understand, remember, and carry out complex or detailed job instructions, and to socialize. (Tr. 560-61.) Dr. Lee explained that Freeman has bipolar disorder and "would have trouble at work place interacting with people, maintaining concentration, dealing with the public, job stressors, more complex tasks." (Tr. 561.)
The ALJ addressed the aforementioned opinions as follows:
As for the opinion evidence, the undersigned places great weight on the opinion of the State's consulting medical examiners (Exhibits 8F, 10F, 17F and 18F). Those opinions are well reasoned and well supported by their citations to the record. Dr. Carruthes [sic] submitted an opinion form of the claimant's mental capacity that is consistent with a finding of disability (Exhibit 15F). In many places on that form, Dr. Carruthes [sic] quotes the claimant's own opinion of her functioning. Thus, the undersigned does not find it to be an objective analysis by that practitioner. The undersigned also notes that Dr. Curruthes' [sic] ratings of the claimant's functioning are inconsistent with her mental status examinations (Exhibits 12F and 21F). Therefore, that opinion form is granted little weight. Ronald Lee, M.D., the claimant's current treating psychiatrist also completed a form noting the clamant [sic] to have mostly fair to poor functioning in most domains (Exhibit 22F). That opinion is likewise granted little weight because it conflicts with Dr. Lee's own objective mental status examination notes and the claimant's reports of her functioning.
(Tr. 35.)
The ALJ's conclusory and unexplained statement that the opinions of Drs. Carruthers and Lee were inconsistent with objective mental status examination does not, in and of itself, constitute "good reasons" for rejecting his opinion. See, e.g., Rogers v. Comm'r of Soc. Sec., 486 F.3d 234, 245-46 (6
The Commissioner asserts that the discussion in the preceding paragraph, cited below, adequately explains which mental status findings were inconsistent with the limitations assessed by Dr. Carruthers and Dr. Lee and any repetition would have been superfluous. (ECF No. 16 at 14-15.)
(Tr. 35.)
First, the ALJ did not suggest that he was rejecting the opinions of Freeman's treating psychiatrists due to any conflict with the opinion of Dr. Kampampati. Second, the ALJ's statement that Freeman reported improved concentration to Dr. Carruthers is inaccurate. His treatment notes state the opposite. (Tr. 444, 446.) Third, Freeman's mental limitations, as assessed by Dr. Lee and Dr. Carruthers, go beyond issues involving memory and concentration. It is unclear, for example, how any of the information in the above paragraph undermines the treating psychiatrists' opinions with respect to Freeman's troubles interacting with the public, with supervisors, or her alleged inability to complete a normal work week. Even reading the opinion as a whole, it remains unclear how either psychiatrist's assessment is inconsistent with Freeman's mental status examinations, as the ALJ offers no meaningful explanation except for a general reference to Exhibits 12F and 22F.
It is also unclear how Freeman's reports of her functioning conflict with Dr. Lee's opinion as, again, the ALJ offers nothing in the way of an explanation. The ALJ does, at various points in the decision, indicate that Freeman grocery shops, consistently attends medical appointments, attends church, and maintains relationships with family members. (Tr. 32, 35.) The ALJ, however, neglected to explain how such minimal and infrequent activities, performed for a limited amount of time despite her allegations of mental distress, were so inherently inconsistent with the mental limitations found by her psychiatrists. See, e.g., Walston v. Gardner, 381 F.2d 580, 586 (6
With respect to Dr. Carruthers's opinion, the ALJ noted that it, at times, quotes Freeman's self reporting of her functioning level and is, therefore, not objective. (Tr. 35.) The Court is skeptical whether it is reasonable to infer that Dr. Carruthers's opinion was essentially an accommodation for Freeman based on the inclusion of what appear to be some of Freeman's own statements. Arguably, the ALJ's finding herein is similar to one that was criticized in Nixon v. Astrue, 2011 U.S. Dist. LEXIS 107610, 2011 WL 4443106 (E.D. Okla. Sept. 22, 2011). Therein, the court was confronted with a case where the ALJ gave no weight to a treating physician's opinion and did not specifically identify any evidence in the record contradicting it. Nixon, 2011 U.S. Dist. LEXIS 107610 at *4. The Nixon court found "[the ALJ's] statements that Dr. Patton's report was prepared as an act of courtesy smack of the old `treating physician's report appears to have been prepared as an accommodation to a patient' statement that has been roundly rejected as a basis for reducing the controlling weight normally afforded a treating physician's opinion." Id. (citing Miller v. Chater, 99 F.3d. 972, 976 (10
Finally, the Commissioner also asserts that the ALJ reasonably ascribed great weight to the opinions of the State Agency reviewing physicians.
Therefore, the Court finds that Freeman's first assignment of error has merit. The ALJ failed to set forth good reasons for rejecting the opinions of Dr. Lee and Dr. Carruthers. The Court is unable to trace the path of the ALJ's reasoning and the analysis was insufficient under the Administration's procedural rules.
Freeman asks this Court to reverse the ALJ's decision and award disability benefits. (ECF No. 15 at 21.) Freeman can be awarded benefits only if proof of his disability is "compelling." Faucher v. Sec'y of Health & Human Servs., 17 F.3d 171, 176 (6
For the foregoing reasons, the Court finds the decision of the Commissioner not supported by substantial evidence. Accordingly, the decision of the Commissioner is VACATED and the case is REMANDED, pursuant to 42 U.S.C. § 405(g) sentence four, for further proceedings consistent with this opinion.
IT IS SO ORDERED.