KATHLEEN B. BURKE, Magistrate Judge.
Plaintiff David T. Harris ("Harris") seeks judicial review of the final decision of Defendant Commissioner of Social Security ("Commissioner") denying his application for Supplemental Security Income benefits ("SSI"). Doc. 1. This Court has jurisdiction pursuant to 42 U.S.C. § 405(g). This case is before the undersigned Magistrate Judge pursuant to the consent of the parties. Doc. 16.
For the reasons stated below, the Commissioner's decision is
Harris filed his application for SSI on September 17, 2007, alleging a disability onset date of September 1, 2007. Tr. 182, 225. He alleged disability based on the following: "High [blood] pressure, hearing voices, I talk to myself, obes[ity], edema swelling on my ankles, headaches all day long." Tr. 229. After denials by the state agency initially (Tr. 48, 92) and on reconsideration (Tr. 49, 95), Harris requested an administrative hearing. Tr. 98-100. A hearing was held before Administrative Law Judge ("ALJ") Dierdre R. Horton on September 16, 2009. Tr. 31-47. In her December 10, 2009, decision (Tr. 51-68), ALJ Horton determined that Harris' residual functional capacity ("RFC") did not prevent him from performing work existing in significant numbers in the national economy, i.e., he was not disabled. Tr. 63. Harris requested review of ALJ Horton's decision by the Appeals Council. Tr. 142. On November 1, 2010, the Appeals Council remanded Harris' case back to an ALJ.
On January 17, 2012, a second hearing was held before ALJ Lawrence Levey. Tr. 11-30. In his February 10, 2012, decision (Tr. 72-91), ALJ Levey determined that Harris' RFC did not prevent him from performing work existing in significant numbers in the national economy, i.e., he was not disabled. Tr. 85. On April 4, 2012, Harris requested review of ALJ Levey's decision by the Appeals Council (Tr. 9-10) and on June 4, 2013, the Appeals Council denied Harris' request for review, making the ALJ's decision the final decision of the Commissioner. Tr. 1-5. Harris is currently appealing from the February 10, 2012 decision.
Harris was born in 1965 and was 42 years old on the date his application was filed. Tr. 85. Harris has a high school equivalent education. Tr. 85, 381, 456. He has no past relevant work. Tr. 85.
Harris has no history of psychiatric hospitalizations. Tr. 457. He first sought treatment for mental health issues at Zepf Community Mental Health Center ("Zepf") in May 2008, complaining of depression and auditory hallucinations.
On June 2, 2008, Harris began treatment with psychiatrist Nagaveni Ragothaman, M.D. Tr. 449. Harris reported that he had difficulty sleeping for years stemming from an attack in prison while he was sleeping. Tr. 449. He stated that his sleeplessness had gotten worse after his mother died in 2004. Tr. 449. He also reported depression, irritability, hearing voices, and a low frustration tolerance. Tr. 449. He stated that he avoids people. Tr. 449. Upon mental examination, Harris maintained good eye contact and was cooperative, although he was sad and in tears. Tr. 450. Dr. Ragothaman noted that Harris did not seem to respond to internal stimuli such as hallucinations during the appointment. Tr. 450. She found that Harris was alert and oriented, and could complete serial sevens (subtracting from 100 in series of seven), spell backwards, and recall three objects after five minutes. He could think abstractly and had average intelligence, although she described his insight and judgment as poor. Tr. 450. She diagnosed depressive disorder and antisocial personality disorder and assigned Harris a GAF of 45.
Harris saw Dr. Ragothaman again on June 30, 2008. Tr. 441. He reported depressive symptoms, paranoid thoughts, and auditory hallucinations. Tr. 441. He stated that he planned to go to California. Tr. 441. Dr. Ragothaman described him as appropriately dressed with good eye contact and normal speech. Tr. 441. She found him to be irritable but cooperative. Tr. 441. She observed that Harris did not appear to respond to internal stimuli such as hallucinations during his appointment. Tr. 441.
On August 25, 2008, Harris reported that the Trazodone was helping him sleep. Tr. 434. He stated that he went to California for about a month and stayed with his sister. Tr. 434. He reported paranoid thoughts and auditory hallucinations. Tr. 434. Dr. Ragothaman opined that his eye contact was good and that he was cooperative, although his speech was pressured at times and he was irritable. Tr. 434. She also observed that he did not appear to respond to internal stimuli such as hallucinations during his appointment. Tr. 434.
On December 5, 2008, Harris telephoned Zepf. Tr. 430. He "presented stable and welloriented"; denied psychiatric problems; and had "questions about establishing [a] record of treatment for SSI, Medicaid." Tr. 430.
Harris next saw Dr. Ragothaman on January 5, 2009. Tr. 428. He reported that he had been in Las Vegas for two months staying with his sister. Tr. 428. He described his family as close-knit. Tr. 428. He complained about being depressed and irritable, and indicated increased depression due to the holiday season and recent deaths in his family. Tr. 428. Dr. Ragothaman described him as being appropriately dressed for the weather, having good eye contact, and being cooperative. Tr. 428. She observed that he did not appear to respond to internal stimuli such as hallucinations during his appointment. Tr. 428.
Harris returned to Zepf on September 3, 2009, after being discharged for missing several appointments. Tr. 537. He reported a history of depression since 2004 after the death of his mother. Tr. 537. He complained of being paranoid and unable to sleep. Tr. 537. Upon mental examination, Harris was found to be cooperative and responsive, with a goal-directed thought process.
Dr. Ragothaman saw Harris on September 18, 2009. Tr. 534-536. Upon mental examination, Dr. Ragothaman described Harris as cooperative with good eye contact, albeit with a blunted affect. Tr. 536. She noted that Harris did not appear to respond to internal stimuli such as hallucinations during the appointment. Tr. 536. He was alert, and was able to complete serial sevens and spell backwards. Tr. 536. He was able to recall two objects after five minutes and a third object with a clue. Tr. 536. Dr. Ragothaman rated Harris as having average insight, judgment, and an average intelligence level. Tr. 536. She diagnosed major depressive disorder, recurrent, severe, with psychotic features; a mood disorder; post-traumatic stress disorder; polysubstance dependence, in remission; and anti-personality disorder. Tr. 536. She assessed a GAF of 45. Tr. 536. She prescribed Celexa, Abilify, and Desyrel.
A nurse assessed Harris on November 8, 2010.
On November 9, 2010, Harris complained to Dr. Ragothaman that he continued to hear voices and that the voices were telling him negative comments about Dr. Ragothaman. Tr. 531. Dr. Ragothaman opined that Harris did not appear to respond to internal stimuli such as hallucinations during the appointment. Tr. 531. She found him cooperative, with good eye contact, and stable affect and speech. Tr. 531. At that time, Harris was taking Geodon, Lexapro, Cogentin, and Ambien.
On January 7, 2011, Harris reported that his medications were beneficial, stating, "I feel a lot better." Tr. 528. His sleep problems had improved. Tr. 528. He was still hearing voices but tried to block them out. Tr. 528. Dr. Ragothaman noted that his eye contact was good and that he was cooperative with normal speech. Tr. 528. His affect was anxious because of car trouble he had that morning, but was otherwise stable. Tr. 528. He did not appear to respond to internal stimuli such as hallucinations during the appointment. Tr. 528. Harris' last two records created by nursing staff at Zepf, dated February 22, 2011 (Tr. 523) and May 24, 2011 (Tr. 516), contained similar findings as previous records described above.
On June 17, 2011, treating psychiatrist Dr. Ragothaman completed a medical source statement form on Harris' behalf. Tr. 548-49. She indicated marked limitation in Harris' ability to independently, appropriately, and effectively, on a regular and sustained basis: (1) remember, understand, and follow simple directions; (2) maintain attention and concentration for two hour periods of time; (3) perform work activities at a reasonable pace; (4) keep a regular work schedule and maintain punctual attendance; (5) interact appropriately with others; (6) withstand stress and pressures of routine simple unskilled work; and (6) make judgments commensurate with the functions of unskilled work. Tr. 548-49.
On June 15, 2011, Judith Janecki, a licensed social worker at Zepf, also completed a medical source statement on Harris' behalf. Tr. 550-51. Like Dr. Ragothaman, Janecki indicated marked limitation in all categories. Tr. 550-51. She additionally explained that Harris "hears voices even while on medication"; "is easily distracted due to the auditory hallucinations"; and "is irritated easily by people and has low frustration tolerance." Tr. 550-51. She opined that she "does not feel [Harris] is able to work due to paranoia, auditory hallucinations, irritability, and limited education." Tr. 551.
On November 29, 2007, Dr. Watkins conducted a psychological consultative examination. Tr. 378-384. Upon mental status examination, Dr. Watkins observed that Harris was stylishly dressed and well-groomed. Tr. 378. He described Harris as cooperative with good eye contact. Tr. 378. He also described Harris' mood as irritable. Tr. 379. He opined that Harris' "[a]bility to sustain attention and concentration was adequate for the purposes of the evaluation, and appears to be adequate for the purposes of an ordinary eight-hour day." Tr. 378.
Harris reported frequent crying spells and recent vague homicidal ideation. Tr. 379. He stated that he preferred not to interact with others. Tr. 379. He recounted auditory and visual hallucinations that sometimes last all day, although Dr. Watkins observed that Harris did not appear to respond to internal stimuli at the time of the examination. Tr. 379. Dr. Watkins, in summary, opined that Harris had marginal impulse control, marginal to poor insight, marginal judgment, and rated poor for reality testing. Tr. 382.
Dr. Watkins diagnosed Harris with schizoaffective disorder and antisocial personality disorder. Tr. 383. He assessed a GAF score of 30 based on Harris' auditory and visual hallucinations.
On November 12, 2009, Dr. Layne conducted a psychological consultative examination. Tr. 471-476. Upon mental status examination, Dr. Layne observed that Harris had no signs of anxiety, paranoid trends, delusions, or hallucinations. Tr. 474. Although Harris produced an IQ score of 64, which indicates mild retardation, Dr. Layne opined that the score was inconsistent with Harris' schooling and vocabulary. Tr. 471, 474. Dr. Layne diagnosed Harris with polysubstance dependence, perhaps in remission, and antisocial traits. Tr. 475. He assessed a GAF of 81, which is normal. Tr. 475. Referring to Dr. Watkins' report, Dr. Layne stated, "[r]ecently a psychologist diagnosed Mr. Harris with an anti-social personality but Mr. Harris also convinced that psychologist that he suffered schizoaffective disorder. That second diagnosis is obviously false. Even the psychologist noted that Mr. Harris behaved rationally and Mr. Harris behaved rationally for me as well." Tr. 475.
With respect to work-related mental abilities, Dr. Layne opined that Harris was not impaired in his ability to: understand and follow instructions; maintain attention to simple, repetitive tasks; relate to others, including coworkers; and withstand day-to-day work stress. Tr. 475.
On January 11, 2008, Dr. Stailey-Steiger reviewed Harris' records. Tr. 386-88. Regarding Harris' functional capacity, Dr. Stailey-Steiger opined that Harris was capable of: (1) performing tasks that do not require independent prioritization or more than daily planning;
(2) can interact occasionally in situations that do not require resolving conflict or persuading others to follow demands; (3) can interact occasionally and superficially and receive instructions and ask questions appropriately in a work setting; and (4) can cope with the ordinary and routine changes in a work setting that are not fast paced or of high demand. Tr. 388.
On July 8, 2008, Dr. Lewin reviewed the evidence and Dr. Stailey-Steiger's findings, and affirmed Dr. Stailey-Steiger's assessment. Tr. 424.
Harris was represented by counsel and testified at the administrative hearing. Tr. 16-25. He stated that he lived in a house by himself. Tr. 16. He testified that he cooks for himself and that his brother takes him shopping for food once a month. Tr. 24-25.
Harris stated that he hears voices constantly. Tr. 17. The voices tell him to harm people and "be derogative, you know, tear my self-esteem down." Tr. 18. He agreed that his medication helps calm down the voices somewhat and that, if he did not take medication, he would "probably be in jail or something, or dead." Tr. 18. Harris also advised that he does not like being in crowds. Tr. 18. He explained that he tries to stay away from people because he will hear voices telling him to harm them. Tr. 18.
Regarding his work history, Harris recounted that he had only two or three jobs in his life and that he last worked in 2000. Tr. 19. He had problems working because he would get in arguments with supervisors and coworkers. Tr. 19. He stated that he has "a conflict of interest" with bosses because they will "try to get me to do things a certain way, and I see it, doing it, another way." Tr. 21. He testified that he spends most of his time alone in his house, and that he sleeps most of the day because his medications make him drowsy. Tr. 19-20. He also reported that he sometimes has difficulty sleeping because he is paranoid and afraid of being attacked. Tr. 23. Harris stated that his condition has not changed since his last administrative hearing in 2009. Tr. 16.
Vocational Expert Samuel Edelman ("VE") testified at the hearing. Tr. 25-28. The ALJ asked the VE to determine whether there was any work that a hypothetical individual of Harris' age, education, and work experience and with the following characteristics could perform: either medium, light or sedentary exertional level; can stand and walk for 30 minutes at one time; stand and/or walk for a total of four hours in an eight-hour workday; can sit for a continuous period of 60 minutes at one time and can sit for four hours total in an eight-hour workday; can occasionally lift and carry up to 50 pounds, and can frequently lift and carry up to 20 pounds; can occasionally balance; frequently finger, handle, reach, and twist; occasionally climb stairs or steps; frequently walk on uneven ground; operate hand controls, foot controls, and motor vehicles; work around hazardous machinery; tolerate heat, cold, and environmental irritants; cannot climb ladders, ropes, or scaffolds; cannot kneel, crouch, or crawl; can occasionally stoop; is limited to performing simple, routine, and repetitive tasks in a work environment free from fast-paced production requirements that involve no more than occasional interpersonal interaction with the general public, coworkers, and supervisors; and requires a job primarily working with things or objects, rather than people. Tr. 26-27. The VE testified that there were no jobs at the medium exertional level with a sit/stand option. Tr. 27. He stated that light jobs with a sit/stand option would include the following: assembly worker (143,000 national jobs, 1,900 Ohio jobs); sorter/graders (37,000 national jobs; 1,500 Ohio jobs); and packing worker (25,000 national jobs; 600 Ohio jobs). Tr. 27.
Next, the ALJ asked the VE if there were any occupations a hypothetical individual could perform having the same age, education, abilities, and limitations "set forth in [Harris'] testimony today." Tr. 28-29. The VE responded that there would be no jobs that such an individual could perform. Tr. 29.
Under the Act, 42 U.S.C. § 423(a), eligibility for benefit payments depends on the existence of a disability. "Disability" is defined 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." 42 U.S.C. § 423(d)(1)(A). Furthermore:
42 U.S.C. § 423(d)(2).
In making a determination as to disability under this definition, an ALJ is required to follow a five-step sequential analysis set out in agency regulations. The five steps can be summarized as follows:
20 C.F.R. §§ 404.1520, 416.920;
In his February 10, 2012, decision, the ALJ made the following findings:
Harris objects to the ALJ's decision on two grounds. He asserts that the ALJ erred in his evaluation of treating source opinions. He also argues that the ALJ's RFC finding is not supported by the state agency reviewing physician evidence relied upon by the ALJ.
In response, the Commissioner submits that the ALJ reasonably evaluated all medical source opinion evidence and that his RFC finding accounted for the state agency opinion.
A reviewing court must affirm the Commissioner's conclusions absent a determination that the Commissioner has failed to apply the correct legal standards or has made findings of fact unsupported by substantial evidence in the record. 42 U.S.C. § 405(g); Wright v. Massanari, 321 F.3d 611, 614 (6th Cir. 2003). "Substantial evidence is more than a scintilla of evidence but less than a preponderance and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Besaw v. Sec'y of Health & Human Servs., 966 F.2d 1028, 1030 (6th Cir. 1992) (quoting Brainard v. Secretary of Health and Human Services, 889 F.2d 679, 681 (6th Cir.1989) (per curiam) (citations omitted)). A court "may not try the case de novo, nor resolve conflicts in evidence, nor decide questions of credibility." Garner v. Heckler, 745 F.2d 383, 387 (6th Cir. 1984).
Generally, an ALJ must give the opinion of a treating source controlling weight if he finds the opinion well-supported by medically acceptable clinical and laboratory diagnostic techniques and not inconsistent with the other substantial evidence in the case record. Wilson v. Comm'r of Soc. Sec., 378 F.3d 541, 544 (6th Cir. 2004). "If an ALJ decides to give a treating source's opinion less than controlling weight, he must give "good reasons" for doing so that are sufficiently specific to make clear to any subsequent reviewers the weight given to the treating physician's opinion and the reasons for that weight. Id. In deciding the weight given, the ALJ must consider factors such as the length, nature, and extent of the treatment relationship; specialization of the physician; the supportability of the opinion; and the consistency of the opinion with the record as a whole. See 20 C.F.R. § 416.927(a)-(d); Bowen v. Comm'r of Soc Sec., 478 F.3d 742, 747 (6th Cir. 2007).
The ALJ did not err in giving little weight to Dr. Ragothaman's opinion. Dr. Ragothaman's opinion consisted of boxes checked off on a medical source statement form, without further comment, indicating that Harris had marked limitations in his ability to: remember, understand, and follow simple directions; maintain attention and concentration for two-hour periods of time; perform work activities at a reasonable pace; keep a regular work schedule and maintain punctual attendance; interact appropriately with others; withstand the stresses and pressures of routine simple unskilled work; and make judgments that are commensurate with the functions of unskilled work. Tr. 548-49. The ALJ explained that Dr. Ragothaman's opinion "is a form report offered without even the pretense of objective support, appears to be based largely upon [Harris'] subjective and unsupported allegations, and is contrary to the record as a whole, including the contemporaneously prepared treatment records." Tr. 83.
"Form reports in which a physician's obligation is only to check a box or fill in a blank are weak evidence at best." Mason v. Shalala, 994, F.2d 1058, 1065 (3d Cir. 1993). See also Rogers v. Comm'r of Soc. Sec., 225 F.3d 659 (6th Cir. 2000) (ALJ did not err in failing to credit treating source opinions that failed to explain the reasons why certain boxes in the report forms were checked off). Moreover, as described in more detail below, the ALJ identified evidence that supported his finding that Dr. Ragothaman's opinion of marked limitations was based on Harris' subjective allegations and were contrary to the record as a whole, including Dr. Ragothaman's own treatment records. See Curler v. Comm'r of Soc. Sec., 561 Fed. App'x 464, 471-72 (6th Cir. 2014) (ALJ reasonably gave less than controlling weight to the form filled out by plaintiff's treating psychiatrist, consisting solely of checked boxes with no explanations, because it was contrary to the record as a whole, including that doctor's own treatment records).
The ALJ explained that he gave less weight to Dr. Ragothaman's opinion because it was based on Harris' subjective and unsupported allegations (Tr. 83), which the ALJ found not credible "in light of a number on inconsistencies in the record." Tr. 80. For example, at his first administrative hearing, Harris testified that he had not used illegal drugs since 1992. Tr. 80, 43-44. At his second hearing, he stated that he smoked marijuana in 2006 (Tr. 80, 22), and a treatment record from September 2007 revealed daily marijuana use (Tr. 80, 340). The ALJ also pointed out a discrepancy in Harris' stated reasons for separating from his last job. Tr. 80. During his first hearing, Harris explained that he was fired because he missed too many days. Tr. 80, 44. Yet Harris told a social worker at Zepf that he quit because he "got tired" (Tr. 80, 456) and, at the second hearing, Harris remarked that he was fired because he "cussed the boss out" (Tr. 80, 22). Finally, the ALJ pointed out that, in December 2008, Harris reported no psychiatric problems but questioned the social worker at Zepf about "establishing a record of treatment as related to applying for SSI, Medicaid." Tr. 81, 430.
The ALJ also found Harris "less than fully credible regarding his allegations of frequent auditory hallucinations and the effect of these hallucinations on his daily functioning." Tr. 81. Despite Harris' reports of hallucinations, no medical source ever witnessed Harris responding to any internal stimuli. Tr. 81, 379, 428, 434, 441, 450, 471. The ALJ also discussed Dr. Layne's observation that Harris' credibility was "minimal" and that he was "blatantly exaggerat[ing]." Tr. 84, 471, 475. For example, although Harris reported that he had no friends, he was driven to and picked up from the appointment by a friend. Tr. 80, 471. Dr. Layne noted that Harris scored 64 on an IQ test but that the low score was inconsistent with Harris' schooling and vocabulary. Tr. 80, 471. Dr. Layne concurred with Dr. Watkins' diagnosis of anti-social behavior, but called Dr. Watkins' schizoaffective disorder diagnosis "obviously false." Tr. 84, 475.
The ALJ also pointed to substantial evidence in the record contrary to Dr. Ragothaman's opinion that Harris was markedly limited in all categories. Tr. 83. For example, consultative examiner Dr. Watkins found Harris to be "polite, cooperative, and socially appropriate." Tr. 84, 382. Dr. Watkins also noted that Harris did not appear to respond to internal stimuli, such as hallucinations, and did not appear to be anxious. Tr. 84, 379. Dr. Watkins further detailed that Harris lived independently and performed all self-care skills and domestic activities, maintained supportive family relationships, and had no indications of a thought disorder. Tr. 84, 379, 381. He indicated that Harris had an adequate ability to sustain attention and concentration during the examination and for an eight-hour workday. Tr. 81, 378.
Harris argues that the ALJ "ignored the fact that the opinions of Dr. Ragothaman and Ms. Janecki were not inconsistent" with Dr. Watkins' opinion that Harris had marked limitations in his ability to relate to others and handle stress. Doc. 19, p. 17. Contrary to Harris' argument, the ALJ considered Dr. Watkins' opinion and explained why he gave it little weight—Dr. Watkins' opinion, like Dr. Ragothaman's opinion (Tr. 83), "was based primarily on [Harris'] subjective reports of auditory and visual hallucinations, was inconsistent with Dr. Watkins' own observations, and was viewed by an examining psychologist as being unreliable." Tr. 84.
Consultative examiner Dr. Layne described Harris as showing a confident long-term mood. Tr. 81, 473. He indicated that Harris showed no signs of depression, guilt, or anxiety. Tr. 81, 473. He observed Harris "chatting happily with the secretaries," and stated, "[t]his is not a person who dislikes being around people." Tr. 81, 473. He noted that Harris had an excellent vocabulary and was able to complete a four-page form without difficulty. Tr. 81, 474. Regarding Harris' reports of hallucinations, Dr. Layne observed that Harris behaved rationally and displayed no convincing signs of psychosis. Tr. 81, 471. Harris submits that the ALJ's reliance on Dr. Layne's opinion was misplaced because Dr. Layne's opinion "conflicted with those of the other sources." Doc. 19, p. 17. This argument has no merit. The ALJ, consistent with the explanations repeatedly set forth in his decision (Tr. 81, 83, 84), relied on Dr. Layne's opinion, which disagreed with the diagnosis of schizoaffective disorder, because the diagnosis "was based solely on [Harris'] subjective complaints, rather than any objective, clinical findings." Tr. 84.
Lastly, the ALJ identified the opinions of the state agency reviewing psychologists, Dr. Stailey-Steiger and Dr. Lewin, as being consistent with the objective findings reflected in Harris' treatment records and the consultative examiner reports. Tr. 83, 386-388, 424.
The ALJ discussed, in detail, Dr. Ragothaman's contemporaneous treatment records that he found inconsistent with Dr. Ragothaman's opinion. For example, the ALJ noted that Dr. Ragothaman always described Harris as "cooperative." Tr. 80, 428, 434, 441, 450. He explained that she found Harris to have "average intelligence, oriented in all spheres, able to perform serial 7's, and complete memory testing with little difficulty." Tr. 81, 536. Her treatment notes consistently stated that Harris did not appear to respond to any internal stimuli such as hallucinations during the appointment. Tr. 81, 428, 434, 441, 450, 528, 531, 536. Additional treatment notes from Zepf described Harris as "fairly stable" and "stable and well oriented." Tr. 80, 433, 430.
In sum, in accordance with the treating physician rule, the ALJ properly evaluated the treating source opinion of Dr. Ragothaman and explained why he gave Dr. Ragothaman's opinion little weight.
Harris argues that, unlike Dr. Ragothaman, Harris' therapist, Judith Janecki, did provide explanatory information on her medical source statement form. Doc. 19, p. 16-17. Janecki is a licensed social worker and is not considered an accepted medical source. See 20 C.F.R. § 416.913(a) (identifying acceptable medical sources). Rather, a licensed social worker is an "other source." 20 C.F.R. 416.913(d). The Commissioner "may" use evidence from "other sources" to show the severity of the claimant's impairments. Id. When evaluating other source evidence, the Commissioner applies the factors outlined in 20 C.F.R. § 416.927. Id. See also Social Security Ruling ("SSR") 06-03p, 2006 WL 2329939, at *2 (2006). These factors include the other source's: examining relationship; treating relationship, including the length, nature and extent of the treatment relationship; the supportability of the source's opinion; the consistency of the opinion with the record as a whole; whether the source is a specialist, and any other factors raised by the claimant. 20 C.F.R. § 416.927(c).
Here, the ALJ evaluated Janecki's opinion and explained why he rejected it. He stated that her report "suffers from essentially the same deficiencies as that of Dr. Ragothaman." Tr. 83. Although Harris points out that Janecki's form opinion, unlike Dr. Ragothaman's, included narrative explanations, Harris fails to explain how Janecki's opinion is not deficient in the other ways described by the ALJ—the opinion is based on Harris' subjective and unsupported allegations
Harris submits that the ALJ gave significant weight to the state agency psychologist's opinion but failed to formulate an RFC taking into account that opinion. Doc. 19, p. 18-19. The state agency reviewing psychologist Dr. Stailey-Steiger opined,
Tr. 388. The ALJ's RFC limited Harris to performing "simple, routine, and repetitive tasks, in a work environment free of fast paced production requirements, involving no more than occasional interpersonal interaction with the general public, coworkers, and supervisors, and requires a job working primarily with things or objects, rather than with people." Tr. 79.
Harris asserts that the ALJ "made no findings concerning Mr. Harris' ability to plan and prioritize work" and that, although "the ALJ addressed the frequency of interaction described by the State agency opinion, he does not address the quality of the interaction." Doc. 19, p. 19. This argument is misplaced. It is the responsibility of the ALJ, not a physician, to assess a claimant's RFC. Poe v. Comm'r of Soc. Sec., 342 Fed. App'x 149, 157 (6th Cir. 2009). In assessing a claimant's RFC, an ALJ "is not required to recite the medical opinion of a physician verbatim in his residual functional capacity finding . . . [and] an ALJ does not improperly assume the role of a medical expert by assessing the medical and nonmedical evidence before rendering a residual functional capacity finding." Id. Here, the ALJ limited Harris to working with things or objects rather than people, accounting for the limitations regarding the quality of social interaction, i.e., not requiring an ability to resolve conflict or persuade others to follow demands. Additionally, the RFC provided for simple, routine and repetitive tasks, which account for Harris' limited ability to plan and prioritize work.
Harris also argues that the ALJ gave no indication that he recognized the state agency opinions were based on an incomplete record. This argument is baseless. The ALJ stated that he gave the state agency opinions significant weight, "as they had the opportunity to review the entirety of the record available at that time and their opinions are consistent with the objective mental findings of both consultative examiners and [Harris'] treating providers." Tr. 83 (emphasis added).
For the reasons set forth herein, the Court
Tr. 70.
